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Independent Fundraising Event (IFE) Registration Form

Contact Information

Today's Date
Name of Individual or Organization
Name of Contact Person (if Organization)
Phone Number
Street Address
City, State, Zip

Fundraising Details

Name of Fundraiser
Start Date
End Date
Start TimeStart Time
End TimeEnd Time
Fundraiser Location / Name of Venue
Street Address
City, State, Zip
Event Website OR Link to more event details
Description of Fundraiser
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Estimated donation to BCRC
Upload event logo (if applicable)
Upload event flyer (if applicable)
Are there beneficiaries other than BCRC?
If yes, who?
How and when will your event be publicized (Print, Radio, Online/Social Media)
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Please list any sponsors or committed sponsors you plan to approach for support.
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What assistance or materials would you like from BCRC?Availability may vary. Check all that apply.

Additional Comments?

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Fundraiser Agreement

I understand that:

1.)  All events to benefit BCRC must be approved by BCRC staff prior to the event and/or any corresponding promotion of the event.

2.)  When using the BCRC logo on promotional materials - print or digital - your design must be approved by BCRC staff before printing or distributing. 

3.)  Event proceeds will be submitted to BCRC within 30 days of the event.

4.)  All planning and operational responsibilities related to your fundraiser, such as securing date/venue, selling tickets, contracting vendors, promotion and marketing, soliciting sponsors, etc. should be carried out by you or your event’s organizers. BCRC cannot be held responsible for your event's attendance. 

5.)  BCRC cannot underwrite or assume any financial risk with regard to fees, costs, or expenses related to your event.

6.)  BCRC’s tax-exempt status is non-transferable and cannot be used by another party to solicit donated goods or services. If your organization does not have a 501(c)3 status, please do not promise a charitable-tax receipt.

7.)  Independent Fundraisers should refer to us as 'Breast Cancer Resource Center' or 'BCRC'.  Although BCRC is the beneficiary of your event, we should not be named as the sponsor or host in the event title. For example, please title your event "Tea Party to Benefit BCRC" not "BCRC's Tea Party".

I have reviewed and agree to BCRC's fundraising guidelines:

Your Signatureyour full name

Thank you! 

We wish you the best of luck in your efforts! We'll get in touch with you about your fundraiser as soon as we're able. Please contact our Development team at kguhin@bcrc.org if you have any questions or concerns about these procedures.