Karmanos Third Party Event Form

Is this event open to the public? *

Yes

No

Anticipated Number of Guests:*

Is this an event you have hosted for the Karmanos Cancer Institute in the past?*

Yes

No

If this is a new event, do you see this turning into an annual event?

Yes

No

How will the funds be raised? (Examples: ticket sales, silent auction, etc.):*

Do you agree to donate the net proceeds from the event to the Karmanos Cancer Institute within 60 days? *

Yes, I agree

No, I do not agree

Is there a specific type of cancer program you are interested in supporting?:*

Do you require Education Material, if so, what kind? *

Yes, General Cancer Information	Yes, Specific Cancer Information
No - I do not need education material

Do you require an electronic copy of the Karmanos Institute Logo? *

Yes

No

The event organizers understand and agree that the Karmanos Cancer Institute must review and approve all promotional and publicity materials using the Karmanos Cancer Institute name or logo (including, but not limited to press releases, public service announcements, scripts, posters, etc.) before they are printed. *

Yes, I understand and agree

Does this event have an official hashtag? If so, please share.:

Event/Host Company Facebook:

Event/Host Company Twitter handle

Event/Host Company Instagram handle:

Please describe your public relations/marketing plan for this event: *

By signing this document, the undersigned acknowledges that he/she/they is authorized to sign on behalf of the organizer and that he/she.they has received and read the Special Events Policies and Procedures document. both the undersigned and the organizer agrees to abide by all terms the conditions set forth with the Special Events Policies and Procedures, which are applicable to the organizers promotion.*