Fundraiser Registration Form

Today's Date
Name of business, group or individual proposing fundraising activity
Type of Business (if applicable)
Website Address (if applicable)
Name of contact person
Email address of contact person
Telephone number(s) of contact person
Mailing address of business, group, or contact person
Describe your event/idea/program, including how, specifically, the funds will be raised (pledges, sales, donations, etc.).
Location where event will be held (if applicable)
Date, time and/or duration of event (several hours, one day, one month, etc.)
How do you or your group propose to use Maine Breast Cancer Coalition's name to publicize your event? (solicitation letters, invitations, flyers, press releases, point-of-purchase materials, website, newsletter, other)
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