Hold a Community Fundraiser for Emerge!

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

Thank you for choosing Emerge Center Against Domestic Abuse as a recipient of your fundraising event. Community support is the key to our success and we recognize the efforts it takes to organize and hold an event on our behalf. Again, thank you!

In order to better track the fundraising efforts of the community, we developed the following form. You also must acknowledge the Emerge fundraiser guidelines on the bottom of the page.

Email *

Name of Business/Organization:

Name of Contact Person:

Phone:

Name of the Event:

Event Date

YYYY

Event Location:

Brief description of event

How did you hear about Emerge? Tell us about your connection to domestic abuse.

What activities will you conduct to raise funds and/or awareness for Emerge?

What Emerge materials would you like present at the event? (Subject to availability)

English brochures

Spanish brochures

English "How to Help" wallet cards

Spanish "How to Help" wallet cards

Pens

How many of these items will you need?

Are you requesting an Emerge staff attend? If so, please provide details below (ex. tabling, speaking, etc.)

I have read Emerge Community Fundraiser Guidelines and I agree to them. *

Yes, I have read the Guidelines and agree.

Required

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

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

Forms