Survey - Community Events and Fundraising Request Form

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Question - Required - Contact Name:

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Question - Required - Company/Organization Name:

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Question - Required - Title:

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Question - Required - Phone Number:

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Question - Required - Email:

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Question - Required - Address (Company or Home):

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

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Question - Required - Is your organization a non-profit (501C3)?

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Question - Required - Name and Description of Event:

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

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Question - Required - Event Date:

Month

Day

Year

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Question - Required - Projected Attendance:

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Question - Required - Contact for Day of Event and Phone Number:

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Question - Required - Event Location Name and Address:

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

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Question - Required - Time Frame of Event:

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Question - Required - Ticket Prices

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Question - Required - Is the event...
Please make between 1 and 2 selections from the choices below.

	Open to the public
	By invitation only

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Question - Required - Is this an annual event?
Please make between 1 and 2 selections from the choices below.

	Yes
	No
	TBD

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Question - Required - Will this event be benefiting Ronald McDonald House Charities ® of Central Florida?
Please make between 1 and 2 selections from the choices below.

	Yes
	No
	TBD

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Question - Required - Are there any other beneficiaries of this event?

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Question - Required - Will you have the following at your event (click all that apply)?

	Raffle
	Auction
	In-Kind Donations (food, beverage, toys, crafts, books, etc.)
	Tabling
	Monetary Donations Acceptance

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Question - Required - Estimated Value of Monetary Donations

Question - Not Required - If Monetary Donations Acceptance is needed, will you need a donation QR code for tracking purposes?

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Question - Required - Does your event have sponsors (corporate, media, etc)?

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

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Question - Required - Is there any additional information about the event you would like to share with RMHCCF?

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

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Question - Required - If this event includes a tabling component what supplies will be provided?
Please make at least 1 selection from the choices below.

	Table
	Chairs
	Tent
	Electricity
	Not Applicable

Question - Not Required - Which, if any, materials are you requesting permission to use the charity name or logo in connection with your event? *Pre-approval by RMHCCF staff is required before production or distribution*
Please make at least 1 selection from the choices below.

	Solicitation Letters
	Press Release
	Flyer
	Public Service Announcement
	Online Content (website, social media, etc.)

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Question - Required - Will you have an event website?
Please make at least 1 selection from the choices below.

	Yes
	No
	TBD

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Question - Required - Pending availability, would you like an RMHCCF team member to provide any of the following?
Please make at least 1 selection from the choices below.

	In-Person Presentation
	Social Media Coverage
	In-Person Tabling