Connect Thru Cancer Community Outreach: Events, Fundraisers Agreement
This form is a communication of an event being held to support Connect Thru Cancer. CTC does not use email contact lists to communicate events for community events. For more information please email
Event or Organization Contact:
Primary Contact Phone Number and email: *
Please tell us about the event:
Address where Event/Fundraiser will take place:
Date of your event or fundraiser:
Event/Fundraiser Start Time:
Event/Fundraiser End Time:
Fundraising Goal: $
Will you be requesting CMK staff participation or attendance?
Clear selection
If Yes, please detail what you would like our participation to be:
Will CTC marketing materials may be requested, please check materials you would want or need:
Additional Notes or requests
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