Fundraiser Registration

Name

E-Mail Address

Street Address

City

Province

Postal Code

Phone - day

Phone - night

Phone - cell

Contact

When and how is the best way to contact you?

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Organization

Organization you represent (please include contact info if different from the above)

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Event Name

Event Date/Time

Event Location

(City/Town)

Event Description

Briefly describe the event and how the funds will be raised. (Please be as specific as possible)

Costs

Please provide us with a detailed budget, listing anticipated expenses (location/venue, food & beverage, printing, advertising, etc.) and other revenues (if any) for your event

Expected Payment Date

Note: All revenues should be forwarded to Oxfam Canada's National Fundraising Office within 30 days of the event.

Pament Method

Proposed Method of Payment (cheque, VISA, etc.)

Liqour Licence

Does your event require a liquor licence?

Yes
No

Other permits

Are any other permits required? (e.g. gaming, health, fire) Such permits must be in the name of the organizers and not Oxfam Canada.

Yes
No

Event Promotion

How do you plan to publicize and promote your event?

Use of Oxfam Name and Logo

The Oxfam name and logo is a registered trademark and its use is restricted. All publicity used for the proposed event must be submitted to Oxfam Canada's National Fundraising Office for approval prior to being printed or released. Oxfam Canada has guidelines on the use of the Oxfam logo. Please outline how Oxfam's name will be used in promoting your event.

Membership

Are you currently an Oxfam Member?

Yes
No, please send information
Not interested at this time

Donor

Are you currently an Oxfam Donor?

Yes
No, please send information
Not at this time

Fundraising Agreement

I accept responsibility on behalf the organization named here to ensure that all of the above information is accurate and agree to the following conditions

I will consult with Oxfam Canada 's National Fundraising Office to determine the most appropriate wording for promotional materials.

I will not undertake to represent Oxfam Canada in the solicitation of donations without the written approval of Oxfam Canada.

I accept full financial responsibility for the event and should it fail to make a profit, and my organization are responsible for outstanding liabilities.

I accept full responsibility for any personal and legal liabilities.

Oxfam Canada

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Fundraiser Registration