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Third Party Fundraiser/Event Request
Contact Information
Contact Name
*
First Name
Last Name
Email
*
Verify Email
*
Contact Phone
*
Is this fundraiser/event being held on behalf of an organization/company?
*
Yes
No
Name of organization/company
*
Fundraiser/Event Information
Are you applying for a fundraiser or an event?
*
Fundraiser
Event
Name of fundraiser/event
*
Date of fundraiser/event
*
(mm/dd/yyyy)
Expected donation to 1M4A from fundraiser/event
*
Location of fundraiser/event
*
Name of location, city, and state
Please provide a brief overview of the fundraiser/event. How will funds be raised?
*
Are you requesting 1M4A to help market the event?
*
Yes
No
Are you requesting staff or volunteer support from 1M4A?
*
Yes
No
Any additional details you would like to share with us about this fundraiser/event?
How did you learn about 1M4A?
Third Party Fundraising/Event Request Agreement
Please note that 1M4A will not attach its name or likeness to any fundraiser/event/subject matter that does not meet our brand standards. All fundraising/event requests to use 1M4A's name/likeness/logo are subject to approval.
Please initial below indicating your agreement to these standards.
*