Spirit FM
Secure Online Form

 
717 South Dale Mabry Highway

Tampa, FL 33609

[Phone] 813.289.8040 ext. 231

[Fax] 813.282.3580

danielle@spiritfm905.com

 

 

Third Party Event Proposal Form

 

Organizer Information

 

Contact Name:________________________________________________________________________________

 

Address:______________________________________________________________________________________

________________________________________________________________________________________________

 

Phone:__________________________ Fax:_________________Email:________________________________

 

 

Event Information

 

Proposed Date:________________________ Proposed Time:___________________________________

 

Proposed Location:_________________________________________________________________________

 

Briefly Describe Proposed Event:_________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

_______________________________________________________________________________________________

 

Is There a Cost to Attend the Proposed Event? If so, how much?:______________________

 

 

How will funds be raised? (Ticket sales? Auction? Bake Sale? Etc.):_____________________

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Estimated Fundraising Expenses for the Event?:__________________________________________

 

What % of Funds will Spirit FM 90.5 Receive?:____________________________________________

 

Will any other Organization  also Receive a % of Proceeds from this Event?:__________

 

If so, What Organization?:__________________________________________________________________

 

Is so, What Percentage?:____________________________________________________________________

 

 

Signatures

 

 

 

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Signature of Organizer

 

 

__________________________________

Print Name

 

 

__________________________________

Date

 

 

 

Approved by

 

 

 

 

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Danielle Wright-Landry

Director, Development

 

 

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Print Name

 

 

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Date