La Fondation des Canadiens pour l'enfance - Fundraising by a third party request form

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Third part fundraising

Submission Form

If you wish to organize a fundraising event to benefit the Montreal Canadiens Children’s Foundation, please fill out this form and return it to us at least 12 weeks prior to the projected date of the event.

Merci de bien vouloir remplir les champs marqués d'une astérisque (*).

1. General Information

* Date of the fundraising event:

* Name of the organization:

Type of organization:

* Contact person:

Note: If you are a student the project must be approved by a responsible person (parent, teacher or school director).

* Name of the person responsible:

Address:

City:

Province:

Postal Code:

Country:

* Phone:

Fax:

* E-mail:

Web Site:

2. Description of the fundraising event

* Please provide a short description of the event and how the funds will be raised (i.e. random draw, auction, benefit dinner etc.)

3. Budget

Revenues		Expenses
Ticket sale:	$	Equipment rental:	$
Items for sale:	$	Promotion / advertising:	$
Sponsorship(s):	$	Food / beverages:	$
Auctions (silent or live):	$	Others :	$
Donation(s):	$	Others :	$
Others :	$	Others :	$
Others :	$	Others :	$
Others :	$	Others :	$
Others :	$	Others :	$
Total revenues:	$	Total expenses:	$
* Projected net revenue:	$

4. * Who will you be targeting for this fundraising event (individuals, organizations, general public)?

5. * Will the Montreal Canadiens Children’s Foundation be the only charitable organization benefiting from this fundraising undertaking?
If this is not the case, please provide the names of the beneficiary charities.

6. * What type of support are you seeking from the Montreal Canadiens Children’s Foundation for this fundraising event?

7. * Do you expect local media coverage for the activity or following the event to unveil the results if the fundraising efforts?

8. * Does this fundraising event require a license or permit?

Yes No

Please attach any pertinent information or documents (invitations, advertising, others) to this fundraising request form.

Attach documentation (Accepted file formats are .PDF, .DOC, .RTF et .TXT):

Official website of Montreal Canadiens hockey team