Community Fundraiser Inquiry
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Contact Name (First and Last) *
Company, if applicable
Physical Address 
Mailing Address (if different)
Phone Number
*
Email
*
Name of Fundraiser/Event:
*
Description of Event:
*
Date/Date Range:
*
Time:
Location:
Who is the intended audience, how many attendees are you expecting?
*
Would you like a Queerly ME representative at the event?
*
Would you like Queerly ME involved in the collaboration of this fundraiser, and to what extent? *
Do you need any promotional materials (electronic logos, photos, etc.)?
*
How will the revenue be designated? ( If an item- how much per item. If percentage of the gross- what is the percentage. If revenue after expenses- what is the targeted revenue)
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