Benefit Events Application

Name of Group / Company Planning the Event / Activity*
Name of Individual Responsible?*
First Last
Company Name
Daytime Phone
Fax
Email*
Enter Email Confirm Email
Address of Event*
Street Address Address Line 2 City State ZIP Code
Briefly describe the Event / Activity*
Start Date of Event/Activity*
MM slash DD slash YYYY
Start Time

: HH

MM

AM/PM
End Time

: HH

MM

AM/PM
End Date of Event/Activity*
MM slash DD slash YYYY
List All Expenses*
Please list all expenses and indicate if any are being donated. Please note all expenses are to be paid out from the proceeds, and paid by the event organizer.
Projected Cost of Event/Activity*
Please Describe how Income will be Generated by your Proposed Event/Activity*
Projected Total Income*
Please Describe Proposed Publicity for the Event/Activity*
Detail any marketing you are doing to promote the event.
Would your Organization Use The Center for Women and Families Name/Logo?
- Yes We Would
What support would you like to request from The Center?
Check applicable boxes.
- Representative from The Center to attend event
- Printed material related to The Center
- Camera ready copy of logo
- Volunteers
- Promotion
- Other
Other
Additional Notes
Name
This field is for validation purposes and should be left unchanged.

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