Host a Fundraiser Form

Name of Business/Organization or Group

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone

Fax

Is this event

Name of Event

Date of event

Event begins at

: HH

MM

Event ends at

: HH

MM

Event information #

Event information email

Event website

Where are you hosting this event?

Please include address, if possible

Will you have a ticket price or entrance fee?

Yes
No

What will the price be?

Please describe your event:

Please list any other charitable organizations that will also benefit from this event:

What percentage of proceeds (after expenses) do you wish RMHC to receive?

What is your expected date to distribute proceeds from this event?

Will any businesses be contacted for donations for your event in any way?

Yes
No

Please list these prospects for RMHC to review in order to avoid duplicated efforts with businesses we may have already approached.

Do you wish to use RMHC's name, logo or program/service information to help promote your event?

Yes
No

If yes, what types of promotion do you plan to use?

Would you like any RMHC materials (if available) at your event?

Yes
No

If yes, please specify materials and quantity of each:

Will you be publicizing your event through social media?

Yes
No

If yes, provide the specific links

I have read, understand and agree to the guidelines posted for hosting a fundraiser to benefit RMHC. I agree to indemnify and hold harmless RMHC and McDonald's Corporation (who owns the RMHC trademarks) from any and all third party claims made in connection with the hosted fundraiser. If asked, I will produce a certificate of insurance.*

Digital signature (Type your name as you would sign it)

Name

This field is for validation purposes and should be left unchanged.