Fundraiser or Event Application

Your help means so much to The Pink Fund! Supporters like you allow us to offer 90 days of much-needed financial support to breast cancer patients in active treatment. To host an event or fundraiser, please complete the form below and allow 3 business days for a response.

EVENT ORGANIZER INFORMATION
Name of Contact*
First Last
Name of Organization / Company (if applicable)
Address*
Street Address City State ZIP Code
Phone*
Email*
Website
How did you hear about us?
Please let us know how you heard about us:
Social Handles
Instagram
Facebook
Twitter
EVENT INFORMATION
Name of Event or Campaign
Projected Attendance or Engagement
Event Date
MM
DD
YYYY
Event Type
- Online Sales
- By invitation
- Open to the public
- Social Media Campaign
Ticket Price (if applicable)
Location Type
Location Address
Street Address City State ZIP Code
Event Sponsors
Are there any sponsors involved in this event?
- Yes
- No
Sponsors
If yes, please name the sponsors of the event (e.g. corporate sponsors, media sponsors).
FUNDRAISING INFORMATION
Percentage or Goal Amount to be Given to / Raised for The Pink Fund*
How Funds Will Be Raised*
Expected Date of Funds*
Please indicate the date when the funds can be expected by The Pink Fund. PLEASE NOTE: Funds must be received within 30 days of the event.
MM
DD
YYYY
APPLICANT SIGNATURE
I specifically agree to all the terms and conditions contained in the "Policies and Procedures for Third-Party Fundraisers" as part of this application. I understand that my event is not considered an approved event until written approval of my application is received from The Pink Fund. No amendment, modification, or waiver of any of the terms and conditions contained in this document and the "Policies" and at no time will The Pink Fund, or any representative of The Pink Fund, be responsible for the cost or staffing of my event, nor will The Pink Fund be liable for personal injuries or damages to property which may occur during my event. I agree to indemnify and hold harmless The Pink Fund and their employees, agents, and representatives from any and every claim, demand, suit, and payment related to or caused by my event.
Event Organizer's Printed Name*
Event Organizer's Signature*
Please use the field to digitally sign your name.
Today's Date*
MM
DD
YYYY
Email updates
I would like to receive email updates from The Pink Fund.

Fundraiser or Event Application

EVENT ORGANIZER INFORMATION

Social Handles

EVENT INFORMATION

FUNDRAISING INFORMATION

APPLICANT SIGNATURE

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