Third Party Community Fundraiser Application

Ronald McDonald House Charities of Eastern Iowa and Western Illinois is a non-profit organization whose goal is to keep families together when their child needs medical care. We thank you for your support. Please complete and submit this application for approval by Ronald McDonald House Charities of Eastern Iowa and Western Illinois. You will be contacted by RMHC-EIWI staff within 10 business days.

Name of Group or Organization

Event Contact First Name

Event Contact Last Name

Event Contact Email

Phone

Address

Name of Event/Campaign

Description of Event/Campaign

Proposed Date of Event/Campaign

Proposed Time of Event/Campaign

How will you promote the Event/Campaign

Do you plan to use the Ronald McDonald House Charities logo to promote the event?

Yes No

If yes, please describe how and where you plan to use the logo

Are there any other charities involved?

Yes No

If yes, please provide details of involvment

Terms and Conditions

Sponsoring Organization agrees to provide Ronald McDonald House Charities of Eastern Iowa and Western Illinois proceeds from the Event within thirty (30) days after the Event. Contributions will be accompanied by an accounting of donations. If for any reason there is a delay in compiling this information or disbursing funds, contact RMHC-EIWI development staff as soon as possible. Sponsoring Organization shall seek official approval by Ronald McDonald House Charities of Eastern Iowa and Western Illinois. Sponsoring Organization agrees to Ronald McDonald House Charities of Eastern Iowa and Western Illinois that (a) it will comply with all applicable laws during the planning, promotion, and conduct of the Event; (b) all necessary insurance, licenses, registrations, filings and permits will be obtained and will be in force. (A copy of which shall be attached to this document.) Any and all advertising and promotional materials to be used in support of this Event must be submitted to Ronald McDonald House Charities of Eastern Iowa and Western Illinois for its review and written approval seven days prior to production. Sponsoring Organization may not use any trademarks, service marks, logos, or other property of Ronald McDonald House Charities of Eastern Iowa and Western Illinois and/or McDonald’s Corporation (McDonald’s) in any of its advertising or promotional materials without prior written approval. All collateral material relating to the Event must specify at the point of solicitation: (a) that Ronald McDonald House Charities of Eastern Iowa and Western Illinois is the benefiting organization; (b) that written information about RMHC –EIWI is available by calling (319) 356-3939; and (c) the actual or anticipated proceeds that will benefit RMHC-EIWI. Sponsoring Organization agrees to indemnify and hold harmless RMHC-EIWI and McDonald’s from any and all third-party claims made in connection with this Event, and from any and all claims relating to purchases made by consumers from Sponsoring Organization as part of this Event. Each party will forward to the other any complaints and responses to complaints, or comments it receives relating to this Event. Nothing in this document shall be construed to authorize Sponsoring Organization or any of its employees or representatives, to act as an agent of RMHC-EIWI.

Signature

Date