Special Event Proposal Form - PDF

							Special Event Proposal Form
Date: ___________________________________

CONTACT INFORMATION

Name of group/company planning the event: _________________________________________________________

Name of primary contact: __________________________________________________________________________

Address: _________________________________________________________________________________________

City: _____________________________________ Province: _____________ Postal Code: ____________________

Bus. Tel: __________________________ Home Tel: ________________________ Fax: _________________________

Email Address: ___________________________________________________________________________________

EVENT INFORMATION

Name of Proposed Event: __________________________________________________________________________

Date: _______________________ Location: ___________________________________________________________

Address: _________________________________________________________________________________________

Please describe the proposed event and how the funds will be raised: ___________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Would you be interested in using our online fundraising software for this event?               Yes __ No __

Expected attendance: ____________________________

Estimated Revenue: $ ________ Estimated Expenses: $ ________ Net Revenue to Kids Help Phone: $ _______

Does the planning group understand and agree that all publicity and promotional material for the proposed
event must be approved by Kids Help Phone prior to being printed and released?           Yes __ No __

                             Please complete and return the event proposal form to:
                                                   Susan Fraser
                                      Kids Help Phone – Manitoba Region
                                             200 Main Street, Floor 4
                                         Winnipeg, Manitoba R3C 4M2
                                 Telephone: (204) 925-5675 Fax: (204) 925-5624
                                    Email: susan.fraser@kidshelp.sympatico.ca
                   We will contact you shortly and we look forward to working with you!

For Kids Help Phone Use Only:
Date Approved: ___________________ Approved by: _________________________ Appeal Code: _________

                                                                       Charitable Registration No.: 13000 5846 RR0001