FUPCDC Fundraising & Donation Request Form

Event Name

Event Coordinator Information

Event Coordinator Name

First Name

Last Name

Event Coordinator Email

Event Coordinator Phone

(###)

###

####

Secondary Coordinator Name

First Name

Last Name

Secondary Coordinator Email

Secondary Coordinator Phone

(###)

###

####

Event Information

Purpose & perceived benefit to be derived from the event

Describe proposed fundraising activity, including category and scope of the audience

Identify the audience

Actual Dates of the event

Start Date

YYYY

Start Time

Hour

Minute

Second

End Date

YYYY

End Time

Hour

Minute

Second

Requested dates for fundraising activity in narthex

Start Date

YYYY

End Date

YYYY

Proceeds

Currency

Primary beneficiary ($ amt. or %)

Secondary beneficiary ($ amt. or %)

Third beneficiary ($ amt. or %)

Signature

I herby attest that by submitting this form that any the Event coordinators have fully read the FUPCDC Fundraising and Donation Policy and commit to conducting and event in a manor respectful of worship, the church family and staff members; and promise a timely return of the designated space and equipment to a clean and orderly state.

Accept Policy Statement

Yes

FUPCDC Fundraising & Donation Request Form

Ministry

Mission