Third Party Event Proposal Page 3
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3Third Party Event Proposal
Today’s Date: _______________________________
Name of Organization: ___________________________________________________________________
Contact Person: _______________________________________________________________________
Send completed
Contact Address: _______________________________________________________________________
proposal form to
Home Phone: __________________________________________________________________________
your local
Work/Cell Phone: _______________________________________________________________________
Nemours Fund
Email: ________________________________________________________________________________
Name and description of event/project (attach additional sheets if needed): _________________________
for Children’s Health
_____________________________________________________________________________________
Event/project location and address: _________________________________________________________
Event/project date and time: ______________________________________________________________
To donate to Nemours/Alfred I.
Cost per person:________________________________________________________________________
duPont Hospital for Children or
How will this event/project be promoted: _____________________________________________________
other Delaware Valley Locations,
_____________________________________________________________________________________
please contact:
Are there beneficiaries other than Nemours: ⧠ Yes
⧠ No
Shands House
If so, who: _____________________________________________________________________
1600 Rockland Road
Estimated revenue:______________________ Estimated donation to Nemours: ____________________
Wilmington, DE 19803
Estimated date funds will be donated: _______________________________________________________
Phone 302-651-4828
Fax 302-651-4487
Do you plan to seek sponsorship from local corporations: ⧠ Yes
⧠ No
If yes, please list names of potential corporations: _____________________________________
_____________________________________________________________________________________
To donate Nemours Children’s
Who will be asked to attend/support this event: _______________________________________________
Hospital, please contact:
_____________________________________________________________________________________
9145 Narcoossee Road
What do you need from Nemours: ⧠ Logo ⧠ Event Consultation ⧠ Information on Nemours
Orlando, FL 32827
⧠ Other ______________________________________________________________________
Phone 407-650-7990
I acknowledge and agree that:
Fax 407-694-1355
All events to benefit Nemours must be approved prior to the event or its publicizing.
All promotional materials for proposed events that include Nemours’ name or logo must be approved be-
fore they are released.
To donate to Nemours Children’s
Event proceeds will be submitted within 30 days of the event date.
Clinic locations in Jacksonville or
After 30 days from the date of the event, I will remove the Nemours logo from all event materials (e.g.
Pensacola, please contact:
website)
Nemours’ auditors may request verification of revenue from events being run on its behalf.
10140 Centurion Parkway North
Nemours shall incur no costs or liability associated with this event.
Jacksonville, FL 32256
I must provide staffing and volunteers for this event.
Phone 904-697-4103
I must use my own mailing list for this event.
Fax 904-697-4171
I must comply with all requirements of the IRS in respect to the provision of donation receipts related to this
event.
Nemours reserves at any time the right to withdraw the use of its name and logo.
Name of Event Coordinator (Printed): __________________________________________________________
Signature: ___________________________________________________
Date: _____________________
Approved by Nemours Staff: _____________________________________
Date: _____________________
Nemours Fund for Children’s Health
P 888-494-5251
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