Third Party Fundraising Application

Gilda’s Club Desert Cities

Fundraising Application and Agreement

Date of Application:

Organization:

Name:

Contact Person:  

Address:

City: State: Zip:

Telephone: Day: Evening:

Has your group previously raised funds or solicited goods for Gilda’s Club Desert Cities?

Event:

Name of event:

Date of event:

Location of event:

Time of event:

Sponsors/Underwriters:

Who is the target audience?

How many people do you expect to attend? 

Projected donation from the event (please attach budget details): $

           Explanation/Description of the event:

           Describe planned media exposure/publicity/promotional efforts:

What assistance do you need from Gilda’s Club Desert Cities staff members and volunteers?
(i.e., do you require a staff member present at the event?)

Will any other charitable organization benefit from this event?
If so, please name and describe extent to which they will benefit:

Assistance needed from Gilda’s Club Desert Cities:

Gilda’s Club Desert Cities brochures for publicity

Use of Gilda’s Club Desert Cities logo

Use of Gilda’s Club Desert Cities banner

Gilda’s Club Desert Cities promotional items

Other, Explanation: 

Your event must be submitted for approval by the Fund Development Committee and all printed materials must be submitted for pre-approval by Gilda’s Club Desert Cities. Gilda’s Club Desert Cities reserves the right to review all materials, which include our name and logo. The full name Gilda’s Club Desert Cities must be used in all materials pertaining to the event. Event names may not incorporate the name Gilda’s Club Desert Cities as in “Gilda’s Club Silent Auction,” but may use a second line to identify the relationship such as “Silent Auction to benefit Gilda’s Club Desert Cities.”

A final accounting report from the event organizer is required within 60 days of the event. Funds are to be given to Gilda’s Club Desert Cities no later than 60 days following the event. Gilda’s Club Desert Cities will not cover any losses from the event and is not liable to any party or vendor for any fees, costs, or payments of any kind. The organization sponsoring the event agrees to indemnify Gilda’s Club Desert Cities and any officer, director, employee, member, agent, or volunteer of Gilda’s Club Desert Cities from (i) any and all charges, costs, claims, liabilities, damages, costs, obligations, debts and expenses arising out of or in connection with the event and (ii) any judgments, penalties (including excise and similar taxes), fines, settlements, and reasonable expenses (including attorney’ fees) incurred in connection with any threatened, pending or completed action, suit or proceeding arising out of or connected with the event, whether civil, criminal, administrative, arbitrative or investigative.

Please print clearly, complete & submit to:

Print Name of Authorized Person Fund Development Office

Gilda’s Club Desert Cities

67-625 E. Palm Canyon Drive, Ste. 7A

Signature of Authorized Person Cathedral City, CA 92234

Tel: (760) 770-5678 Fax: (760) 770-5667

Email: pkennedygcdc@dc.rr.com

Date

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