Survey - Fundraising Promotion/Event Inquiry Form

Thank you for your interest in hosting a fundraising promotion or event to benefit the Humane Rescue Alliance.

Please fill out the form below and we will get back to you within 72 hours with next steps.

If you would prefer to complete a PDF form please click here to download.

*1.

Question - Required - Promotion/Event Name:

*2.

Question - Required - Promotion/Event Date:

Month

Day

Year

*3.

Question - Required - Promotion/Event Time:

*4.

Question - Required - Promotion/Event Location, Street:

*5.

Question - Required - Promotion/Event Location, City:

*6.

Question - Required - Promotion/Event Location, State:

*7.

Question - Required - Promotion/Event Location, Zip Code:

*8.

Question - Required - Organization Name (if not applicable, type n/a):

*9.

Question - Required - Contact Person:

*10.

Question - Required - Phone:

*11.

Question - Required - Email:

*12.

Question - Required - Website:

*13.

Question - Required - Would you like to have an HRA representative at your event?

*14.

Question - Required - Will you be creating promotional items (flyers, graphics for the web, etc.)? If yes, all publicity materials related to the event must be reviewed and approved by HRA before they may be used/published for public viewing.

	Yes
	No
	Maybe

*15.

Question - Required - Type of Donation - Please describe the form of donation to be made to HRA (i.e. collect donations, charge an admission fee, percentage of sales, etc.).

*16.

Question - Required - Donation Payment Schedule:

17.

Question - Not Required - If you selected Advance Payment or Other above, please explain the schedule which you will be making payment to HRA:

*18.

Question - Required - Estimated donation goal: