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Fundraising Event Submission Form

Date Of Request

Type Of Fundraiser

Contact Name

Company / Organization Name

Mailing Address

City

Region/State/Province

Country

Postal / Zip code

Phone

Fax

Email

Name Of Event

Date Of Event

Description of Event

Advertising / Promotional Plan

Upload Promotional Documents

Upload supported file (Max 15MB)

Upload Promotional Images

Upload supported file (Max 15MB)

Have you held an event or raised donations for us before?

What percent of the proceeds will be donated to JCCF ?

Are there other organizations or charities also receiving proceeds from this event? *

Yes

No

What are the anticipated proceeds (goal) that will be donated to JCCF ?

Thanks for submitting!

Justin Cowboy Crisis Fund

101 Pro Rodeo Drive
Colorado Springs, CO 80919

General Manager, Julie Jutten

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