Third Party Fundraising Application
Please fill this out and click submit so your request is delivered to our SafeNest team. If you have any questions please feel free to contact Laurie Cody, VP, Communications & Marketing, by emailing lcod@safenest.org or calling 702-877-0133.
Point of Contact Information
Name *
Your answer
Phone Number *
Your answer
Email *
Your answer
What motivated you to start this fundraiser?
Your answer
FOR AN ORGANIZATION HOSTING & ORGANIZING AN EVENT
Large scale corporately funded events.
Business Name
Your answer
Your Job Title - Department
Your answer
Provide your Business Address
Your answer
EVENT INFORMATION
Event Name *
Your answer
Event Type *
Your answer
Proposed Date *
MM
/
DD
/
YYYY
Proposed Time *
Time
:
Event Location Address *
Your answer
Event Attendance *
BENEFIT OF PROCEEDS
Please note your intention for the amount or portion of proceeds of your event to benefit SafeNest.
Wherever SafeNest's name and logo may appear, the portion of the sale or event proceeds must be stated (i.e. All proceeds benefits SafeNest, 25 cents of every dollar raised will benefit SafeNest, 75% of the proceeds will benefit SafeNest.) *
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