Fundraising Activity Approval Form

Fundraising Activity Approval

This form is used to request approval for a fundraiser.

Your Name(Required)

Sponsor of the activity (temple, unit, or shrine club)(Required)

Your phone number(Required)

Your Email(Required)

Your address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Fundraising Activity Purpose(Required)

Fraternal Purpose

Charitable Purpose

Fraternal Purpose: The statement of purpose and disclosure published on its solicitation material, tickets, programs and documents, including all electronically transmitted material, regarding the use of the proceeds shall read:
"Proceeds are for the benefit of Kora Shriners unit/club activities. Payments are not deductible as charitable contributions."
Charitable Purpose: The statement of purpose published on its solicitation material, tickets, programs and documents, including all electronically transmitted material, regarding the use of the proceeds shall read:
"Proceeds are for the benefit of Shriners Hospitals for Children."

Type of activity(Required)

Date(s) of activity(Required)

Where held(Required)

The completion of the above questions follows the Shrine Fundraising policy and procedures as defined in General Order No. 1 under Fundraising Activities section. Do not use this form for third party fundraising events benefiting Shriners Hospitals for Children.

Fundraising Activity Approval

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