THIRD PARTY EVENT APPLICATION Contact DetailsName of Group or Company *0 / 40First Name *Last Name *Email Address *Phone *Street Address *City *State/Province *ZIP / Postal Code *WebsiteHave you previously hosted a Fundraiser for Sage Haven Society? *YesNoEvent DetailsEvent Name *Date of Proposed Event *Month *Day *Year *Event Start TimeHoursMinutesAMPMIf known, please also provide the event start timeLocation of Event *Event Description *Please provide a list of sponsors participating in this eventPromotion and BudgetPlease tell us how funds will be raised *What percentage of proceeds will be donated to Sage Haven? *Will this event be raising funds for other organizations as well? *YesNoPlease tell us what other organizations you are raising funds for at this event and how proceeds will be splitHow do you plan to promote the event?If you are promoting on social media, please feel free to tag @SAGEHAVENportalberniSage Haven's RoleWill you be providing Sage Haven with two tickets for a staff member to attend? *YesNoWe can not guarantee that a staff member will be available attend.Would you like to request permission to offer charity tax receipts? *YesNoRequires approval from Sage Haven Society. See page for info: https://sagehavensociety.org/thirdparty-taxreceipts/Materials requested for the eventLogosBanner or signageProgram BrochuresOtherTerms and ConditionsTermsPlease read the following and indicate that you have read, understood and agree to these terms and conditions: I agree to forward all proceeds from this event to Sage Haven Society, as listed within this application. I understand that Sage Haven Society must approve all publicity for the event prior to it being released and that Sage Haven Society’s name, logos, and symbols are important and should not be misrepresented. I understand that tax receipts will be issued according to Canada Revenue Agency guidelines and that I must discuss tax receipting details with Sage Haven Society prior to the event or tax receipts will not be issued. I understand that Sage Haven Society assumes no legal or financial liability associated with this event. I understand that Sage Haven Society is not responsible for any accidents or damage to persons or property that may occur during the course of this event. I understand that Sage Haven Society reserves the right to cancel this agreement at any given time should the event undermine our mission, vision and values.I understand and agree to the terms of services *YesSignatureStart signing your signature hereYour browser does not support e-Signature field.Send Message
