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Event Date *
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MM
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DD
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YYYY
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HH
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:
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MM
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AM/PM
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Event Host *
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Event Organizer
(company & contact) *
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Address *
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Email *
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Website
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Phone Number *
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Cell Number *
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Purpose of Event *
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PR/Media
Fund-raising
Donor
Cultivation
Adoption
Just for Fun
Other
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Where will the event be held?
(venue address) *
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How will the event be paid for? *
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Will there be food and drink offered? *
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Who will provide it? *
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Will there be in-kind donations provided for the event (such as tables, equipment, advertising, food, etc.)? *
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Will the event have an admission fee? *
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If so, how much? *
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How many people do you expect to attend? *
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How will you advertise the event? *
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Will there be items for sale at the event? Where will they come from? *
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Do you plan to have an auction or a raffle? *
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How will funds be raised for or given to AHS? *
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No Funds
Strictly
Donations
Percentage of
Sales*
Percentage of
Entry Fee*
Ticket Sales (Online tickets can be provided by AHS)
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*What is the percentage to AHS *
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Are there remaining funds going elsewhere and if so where? *
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We ask that participants/attendees be informed of the exact amount their participation benefits AHS.
For example, ambiguous wording like: "a portion of the proceeds benefits the Atlanta Humane Society" is not sufficient. Preferable disclosure statements
take the form of these examples:
"All donations collected will be remitted to the Atlanta Humane Society"
"50% of each ticket sold will be given to the Atlanta Humane Society"
"100% of the net proceeds go to the Atlanta Humane Society"
"A minimum of $15,000 is guaranteed to the Atlanta Humane Society"
These statements must appear on all notices and advertising that encourage the public to participate in the planned event.
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Please write here what your statement will be. *
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What is your estimate of the final monetary donation to AHS? *
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When will payment be made to AHS? *
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If there are other resources needed from AHS, please list and explain.
Include specificsregarding any anticipated use of AHS staff, volunteer force, mobile adoption unit, Hop Around Hound, etc.
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Please explain *
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Please provide any other details about the event, the organization of the event, your organization, or yourself. *
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This agreement may be terminated upon written notice by either party.
It is understood that the Atlanta Humane Society is not responsible for any requisite licenses, permits, bonds, approvals, and taxes and assumes no
liability or obligation for any expenses and/or injury to property, persons or animals with respect to the event.
If using the Atlanta Humane Society name or logo, the Atlanta Humane Society retains the right of approval on all information and materials related to or used to advertising the event (pre
approval before production). Use of the name or logo of the AHS requests pre approval by the Atlanta Humane Society.
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Person submitting information *
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Phone Number *
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Please allow 2-3 business days to process your information.
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