Survey - Cause Marketing Campaign & Third-Party Event Interest Form

Cause Marketing Campaign & Third-Party Event Interest Form

Campaign and/or Event Information

Campaign and/or Event Name:

Campaign and/or Event Location:

Campaign and/or Event Date(s) and Time(s):

Campaign and/or Event Description - please be as detailed as possible:

Will this be an Annual Campaign and/or Event?

Have you organized a campaign and/or event to support Second Harvest Heartland in the past? If yes, please describe and share how much money and/or food was raised:

For Events Only: Is this Event Open to the Public?

For Events Only: Projected Number of Participants:

Financial Information

In an effort to best assist you in a successful campaign and/or event, please indicate how you plan to generate revenue for Second Harvest Heartland.

Other, please describe below: (Maximum response 255 chars, approx. 5 rows of text)

Terms of Donation - please clearly disclose the amount to be donated to Second Harvest Heartland: For example: All proceeds, 75% of profits, one-time donation up to $5,000, $5 of every sale, etc. (Maximum response 255 chars, approx. 5 rows of text)

Anticipated Date of Revenue to Second Harvest Heartland and Interval of Distribution: For example: One-time donation, payment made every two weeks/month, etc. (Maximum response 255 chars, approx. 5 rows of text)

Contact Information

Contact Name:

Organization Name:

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

Phone:

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

Fax:

Additional Comments:

Cause Marketing Campaign & Third-Party Event Interest Form

Campaign and/or Event Information

Financial Information

Contact Information

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