Third-Party Fundraising Application Form - Alberta Council of Women’s Shelters

Organizer/Host Contact Information

Name(Required)

Daytime Phone Number(Required)

Email(Required)

City/Province(Required)

Postal Code(Required)

Company/Organization Information (If Applicable)

Company/Organization Name

Mailing Address

Daytime Phone Number

Company/Organization Website

Fundraiser Details

Initiative/Event Name

Event Date

Decription

Tell us about your event, type of fundraiser, and why you are choosing to support ACWS

Event Start Time

Location/Address

Number of Attendees Expected

Fundraising Goal ($ Amount)

Licensing Information (If Applicable)

Liquor License Number

Gaming License Number

Insurance Provider

ACWS Requests

Do you request an ACWS representative to attend your event? (If Applicable)

Yes

If yes, do you require them to speak or make a presentation? (Please provide a brief overview)

*Please note that we cannot guarantee that an ACWS representative will attend your event, but we will do our best to accommodate all requests based on availability

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