Event Organizer Form
Please complete and submit this form for your upcoming fundraiser.
First Name *
Your answer
Last Name *
Your answer
Street No. *
Your answer
Apt. No.
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
Phone No. (xxx) xxx-xxxx *
Your answer
Email Address *
Your answer
Proposed Event Title: *
Your answer
Date of Event (mm/dd/yyyy) *
MM
/
DD
/
YYYY
Time(s) of Event *
Time
:
Location of Event *
Your answer
Description of the Event *
Your answer
Projected # of Attendees/Participants *
Your answer
Will sponsorships be solicited? *
If yes, will benefits be offered to sponsors? If benefits, will be offered to sponsors, please email sponsor's benefits package to info@preeclampsiacanada.ca with the event title in the subject line. *
Plans for promoting the event *
Required
Do you agree to have your fundraising event posted to the Preeclampsia Foundation Canada facebook page: (https://www.facebook.com/PreeclampsiaFoundationCanada)? *
Do you agree to have your fundraising event posted on the Preeclampsia Foundation’s website (http://www.preeclampsia.org/the-news/events)? *
I agree to have my email address shared on the http://www.preeclampsiacanada.ca for promotion of my event. *
I have read and agree to Preeclampsia Foundation Canada's Fundraising Guidelines. *
I have completed an online Preeclampsia Foundation Canada Volunteer Application at: http://www.preeclampsiacanada.ca *
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