Komen Tidewater: Host an Event

Host an Event

We welcome the opportunity to work with community organizations and individuals who wish to hold a special event fundraiser to benefit the Tidewater Affiliate of Susan G. Komen for the Cure . We do require that a "Letter of Agreement" (LOA) be completed, outlining the details of the event and granting permission to use the Komen for the Cure name and logos for your event.

Please read the event guidelines before completing the application below. Also, please contact us at komentide@verizon.net or call us at 757.490.7794 if you have any questions about the guidelines or the online form.

Komen Tidewater Affiliate
Application Form for Special Events, Benefits, or Promotions

Event or Fundraising Activity:
Date(s):	Time:
Location:
Name of Your Organization:
Contact Person:	Email:
Address:
Apartment:
City:	St: Zip:
Daytime Phone:	Fax:
Description of Event or Activity:
How will you raise money?
Sponsors/Underwriters:
Projected Budget Information:	Income: Expenses: Donation:
	Please list all areas, i.e., brochures, radio, print ads, television, etc. that you have planned.
Publicity/Promotion:
Insurance:	(Copies of necessary insurance with Komen listed as additional insured should be submitted to the Komen Tidewater Affiliate 30 days prior to the event.)
Company:	Type:
Please note: If you are planning a sporting event, copy of participant waiver must be submitted 30 days prior to event.

Will other organizations benefit from this event? If so, please name and describe extent to which they will benefit.

Assistance needed from the Komen Tidewater Affiliate:

Agree with Guidelines?: Yes No

Host an Event

Komen Tidewater Affiliate Application Form for Special Events, Benefits, or Promotions

Komen Tidewater Affiliate
Application Form for Special Events, Benefits, or Promotions