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Third Party Fundraising Event Registration

Page One

Name of individual or group/organization hosting the event *This question is required.

Name of Contact Person for the Event *This question is required.

Contact Phone Number *This question is required.

Contact Email *This question is required. This question requires a valid email address.

Name of event *This question is required.

Type of event (golf tournament, concert, etc.) *This question is required.

How will funds be raised (raffle ticket sales, silent auction, etc.) *This question is required.

Proposed Event Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Proposed Event Time *This question is required.

Start Time:
End Time:

Event Address *This question is required.

Anticipated Number of People Attending Event *This question is required. This question requires a valid number format.

Who will benefit from this fundraising event? *This question is required.

If this event benefits more than one organization, at what capacity are they participating? And what % goes to each charity? *This question is required.

Is this a first year event? *This question is required.

How much was raised in the past?

What is your fundraising goal for this event *This question is required.

How will proceeds of this event come to Southeastern Guide Dogs? *This question is required.

What resources are you hoping for from us? (click all that apply) (Note that not all events can be supported with a speaker or ambassador due to popular demand.) *This question is required.

Online Tool-kit
Representative
Ambassador
Speaker

If a speaker is available for your event, please select the format of your speaking engagement. (Check all that apply) *This question is required.

Please enter an 'other' value for this selection.

Event Address: *This question is required.

Event County: *This question is required.

Please enter an 'other' value for this selection.

How many adults will attend? *This question is required. This question requires a valid number format.

How many children will attend? *This question is required. This question requires a valid number format.

What is the age demographic of your audience? *This question is required.

Please provide detailed arrival instructions for our speaker, including day-of contact and phone number, if different from above. *This question is required.

If your event is outdoors, please confirm there will be adequate shade and water for our speaker and Ambassador Dog. *This question is required.

Is audio/visual equipment available should our speaker choose to utilize it? *This question is required.