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Third Party Event Application

 

Today’s Date_______________________________

 

Name of Event ___________________________________________________________________________

 

Event Date(s)___________________________________________ Event Time(s)_____________________

 

Your Organization/Company Name ___________________________________________________________

 

Contact Person & Title______________________________________________________________________

 

Phone ____________________________  Fax __________________________           e-mail ______________________

 

Street/City/State/ZIP ______________________________________________________________________

 

Description of Event_________________________________________________________________________________

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For more information, people should contact:______________________________________________________________

Who is the target audience?____________________________________________________________________________

Will you need a Gilda’s Club Madison representative at the event? ________If so, what time?_________________________

Will you need Gilda’s Club Madison volunteers to help staff the event?_____________.  If so, how many?_______________

Do you plan to use Gilda’s Club name/logo to promote event? _________

(Please note: any use of Gilda’s Club Madison’s name in printed materials must be pre-approved by Gilda’s Club Madison. See our Third Party Guidelines for more information.)

How can Gilda’s Club Madison Wisconsin help meet your expectations for the event? _______________________________

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Will any other charitable organizations benefit from this event? _______

If yes, please list other organization(s) and percent of proceeds each will receive: ___________________________________

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Expected proceeds from the event? ______________  What percent of the proceeds will Gilda’s Club receive?____________

Check to be mailed?____ Picked up?_____  Expected Date?_______________

 

Signature of Contact Person/Organization_____________________________________  Date________________________

 

For office use                                                                                                                 For GCMW Event Coordinator

o Add to GCMW Calendar of Events     o Donation received on ____________         o Assign Event Project Manager, if needed

o Add to GCMW website                       o Donation recorded on ____________        o Initial acknowledgement sent__________

o Add to GCMW newsletter                   o Thank you/501(c)(3) letter sent________  o Follow up, as needed_________

 
Approved by GCMW _____________________________________________________              Date________________________