Contracted Fundraiser Solicitation Notice
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1
2Please mail Registration to:
FILE NUMBER
Secretary of State Ken Bennett
Contracted Fundraisers Division
th
1700 West Washington, 7
Floor
Phoenix, AZ 85007
Tucson Office: 400 W. Congress Ste. 252
(602) 542-6187
(800) 458-5842
CONTRACTED FUNDRAISER
SOLICITATION NOTICE
A.R.S. §44-6554D
1. Name of Contracted Fundraiser:
Contact Person:
Business Address:
City:
State:
Zip:
Telephone: (
)
2. Name of Charitable Organization for whom promotion is being conducted:
Business Address:
City:
State:
Zip:
Telephone: (
)
3. Name and/or description of promotions:
4. Dates of contract: Beginning Date:
Ending Date:
5. The written contact shall clearly state the respective obligations of the contracted
fundraiser, the charitable organization and the compensation terms of the contracted
fundraiser. Please attach a copy of the contract.
6. Will the contracted fundraiser have custody of the contributions at any time?
Yes:
No:
7. The location and telephone number from which the solicitations will be conducted:
Street Address:
City:
State:
Zip:
Telephone: (
)
ATTACH ADDITIONAL SHEETS IF NECESSARY
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