Survey - Team Roswell Community Event Proposal Form - Team Roswell

Thank you for your interest in hosting a Team Roswell community fundraising event! Starting your own event can be challenging, but our team is here to help make your fundraiser a success.

This Community Event Proposal Form must be completed for approval prior to hosting an event to benefit Roswell Park Comprehensive Cancer Center. Please allow (5) business days after submitting your proposal form to receive a response from the Team Roswell event staff.

ABOUT YOU

Please provide your preferred contact information.

If you have previously registered, please login here to prepopulate your information.


*	First Name: Required
*	Last Name: Required
*	Email: Required
	Street 1:
	City:
	State / Province:
	ZIP / Postal Code:
	Country:
*	Phone Number: Required

ABOUT YOUR EVENT

*

Question - Required - Name of proposed event:

*

Question - Required - Brief description of the proposed event:

*

Question - Required - Date of proposed event:

Month

Day

Year

*

Question - Required - Time of proposed event:

*

Question - Required - Location (venue name) of the proposed event:

*

Question - Required - Address of the proposed event:

*

Question - Required - How will funds be raised for the event? (e.g., ticket sales, pledges, sponsorships, auctions, raffles, etc.):

*

Question - Required - Anticipated gross revenue:

*

Question - Required - Enter the percentage of net proceeds to be donated to Roswell Park: (enter just the number)

Question - Not Required - Please let us know if you have any additional notes for our staff about your fundraising event.

(Maximum response 255 chars, approx. 5 rows of text)

ABOUT YOUR DONATION

*

Question - Required - Please choose one of the following that best describes how you wish for your donation to be used:

Question - Not Required - If you are raising money for a specific fund or in honor or memory of someone, please provide us with that information:

(Maximum response 255 chars, approx. 5 rows of text)

TEAM ROSWELL SUPPORT

*

Question - Required - Would a Team Roswell event pack (containing items such as balloons and banners) be helpful to your proposed event?

*

Question - Required - Would a Roswell Park staff member be helpful on the day of the event?:

Question - Not Required - If yes, describe how it would be helpful below:

FUNDRAISING GUIDELINES

*

Question - Required - You hereby warrant that by submitting this form, and the information, statements, responses, and representations that you have provided on this form are true and accurate, and that such are material, important, and will be relied on by the Roswell Park Alliance Foundation in reviewing and approving or rejecting the proposed event.

Yes, I agree to the Community Fundraising Guidelines

Team Roswell Community Event Proposal Form

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Address.

Elm and Carlton Streets
Buffalo, NY 14263

Phone.

716-845-4977

Email.

teamroswell@roswellpark.org