Third Party Community Fundraiser Application

Name of Group or Organization:

Event Contact:

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Name of Event/Campaign:

Description of Event/Campaign:

Proposed Date and Time of Event/Campaign:

Why did you choose the Ronald McDonald House Charities of Eastern Iowa and Western Illinois as the beneficiary?

How will you promote the Event/Campaign?

Please list the Social Media sites you will use to 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:

Has this Event/Campaign raised funds for another organization in the past?

Yes
No

If so, please provide details:

Are there any other charities involved?

Yes
No

If yes, please provide details of involvement:

Please identify sources of income:

What is your fundraising goal?

Will businesses in your area be contacted for donations or to assist in the event?

Yes
No

If yes, please identify the businesses you wish to contact, so that we may coordinate our efforts. You must have permission prior to soliciting businesses.

Will the Event require insurance?

Yes
No

If yes, will you provide the insurance?

Yes
No

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.

I agree to these terms and conditions.

Signature*

First and Last Name

Date

Third Party Community Fundraiser Application

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