3rd Party Fundraiser 

Ronald McDonald House Charities of Connecticut & Western Massachusetts is accountable for all fundraising activities using the organization's name, logo, or programs. Please carefully read through the application and provide information regarding your event plans. Please complete the following application at least 30 days prior to the event in order for us to provide any support or promotion you made need in advance. If you have questions or need additional information, please contact events@rmhc-ctma.org or call 203-777-5683 ext. 409. 

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Name of Company, Group Organization Club, individual or other. *
Contact Phone Number *
Contact Email *
Contact Full Address 
Please Provide a Brief Description of the Event.
Please Provide the Date of the Event  *
MM
/
DD
/
YYYY
Please Provide the Time of the Event  *
Time
:

What do you anticipate will be the total contribution for RMHC CTMA from this event? (examples: $1,000, paper supplies, toys for ages 6-10, dry food goods, etc.)

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