Third Party Event Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Interested in organizing a fundraiser for The ALS Association CT Chapter? That's great!! Thank you so much! We sincerely appreciate your time and passion to support our Chapter!

Organizing a successful fundraiser takes time, planning, and communication, but we are here for every step of the way!

Step 1- fill out this form with as much information as you can (if you need to leave a few things blank, that's totally ok!

Step 2- Jacky from the CT Chapter will reach out to you and help you every step of the way! Need to set up a website? Need some help brainstorming ideas? Need a letter for soliciting in kind donations? We're here!

Contact Info:
Jacky Rose
jrose@alsact.org
(203) 874-5050

Your Name:

Email:

Phone Number:

Your Mailing Address:

Event Title:

Tell us a little about your why:

Fundraising Goal:

Event Description (tell us a little about what you plan to do)

Do you want to start a website to collect donation, encourage fundraising, and help tell people about your event?

Yes

Maybe

Clear selection

Preferred Contact Method:

Phone

Text Message

Any initial questions, concerns, or ideas?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms