Organization or Company Name

Contact Name
Title

Phone

Fax

E-mail


Address


City
State
Zip Code


Name of Benefit
Type of Benefit (ie. golf, dance, raffle)

Annual Benefit
Yes (if yes, how many years?)
No

Date of Benefit
Anticipated dollars to be raised

How are anitcipated funds expected to be raised? (ie. ticket sales, raffles)


What percentage of raised funds will go directly to The Rainbow Connection?



Will you be securing sponsors for this benefit?
(if yes, please complete Sponsor / Donor Acknowledgement section of this form)
Yes
No

Will a Rainbow Connection representative be desired at the benefit?
Yes
No

Will a Wish Child / Wish Family be desired at the benefit?
Yes
No

Will you need volunteers from The Rainbow Connection?
Yes (if yes, how many?)
No

Would you like any marketing materials from The Rainbow Connection?
Yes
No

Would you like The Rainbow Connection to issue a press release?
Yes
No


I have read and agree with the conditions of this agreement established by The Rainbow Connection.

Authorized Representative
Date


Tax Deductions and Policy for Acknowledgements

It is the policy of The Rainbow Connection to acknowledge each donation. However, for any donations of cash or goods requiring official written acknowledgement from The Rainbow Connection, it is necessary to adhere to the following:

1. Donations made by check must be made to The Rainbow Connection.
2. Cash donations must be receipted.
3. Donations of goods must be receipted. The cost of donated goods or services must be the fair market value and include a full description.

For auditing purposes, The Rainbow Connection will provide forms for all cash donations and for the donation of goods.

I have read the criteria for taxable donations and agree to provide necessary documentation to The Rainbow Connection for donations that require a written acknowledgement.

I have read and agree with the conditions of this policy established by The Rainbow Connection.


Authorized Representative
Date


Sponsor / Donor Acknowledgement

Organization or Company Name


Contact Name
Title

Address


City
State
Zip Code

Type of sponsorship / donation (cash, goods, service)


Approx. value of sponsorship / donation