SYV event info

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					                                                             Event
                                                  Information Form
Contact Information

Who is organizing the event?  Company             Group/Organization       Individual

Name of company/group/organization: _________________________________________

Primary contact name: _____________________________________________________

Mailing Address: _______________________________________ Suite/Apt #: _________

City: ___________________ Province: ________________ Postal Code: _____________

Primary phone: (____)____________________              Facsimile: (____)_________________

Email: ____________________________               Website: __________________________


Event Information

Name of event: ___________________________________________________________

Date of event: ___________________________ Time of event: ___________________

Venue: __________________________________________________________________

Brief description of event: ___________________________________________________

________________________________________________________________________

Is this the first year of the event?    Yes     No      Past beneficiary: ________________

Will alcohol be available at the event?  Yes     No

Additional information you feel CNIB should know regarding your event: ______________

________________________________________________________________________
                                             2

Financial Information

Will event proceeds be donated to CNIB only?  Yes         No

If no, what other charities will be involved? _____________________________________

Estimated contribution to CNIB: $_____________ OR % of Net Proceeds______________

How will funds be raised (please check all that apply):

   Donations/Pledges                              Product Sales
   Ticket Sales                                   50/50 Draw
   Silent/Live Auction                            Raffle
   Corporate Sponsorship:

       o Confirmed event sponsors (please list):
         __________________________________________________________________

         __________________________________________________________________

       o Corporations being solicited (Please list all. Attach sheet if needed):
         __________________________________________________________________

         __________________________________________________________________


Promotional Information

How will you be promoting your event?

 Word of mouth                                    Posters, flyers or brochures
 Newspapers, radio and/or TV                      Online (i.e. website, Facebook, Twitter)

 Other (please explain): ____________________________________________________

Where will promotion take place?    Regionally        Provincially     Nationally

				
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posted:9/14/2012
language:English
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