I Want to Contribute

Event proposal form

The Quebec Breast Cancer Foundation relies on the support and willingness of many individuals and organizations who generously organize fundraising activities to help us fund breast cancer research, promote breast health through education and awareness and support people touched by breast cancer.

Organizor’s coordinates

Name of the group/company planning the event: *

Name of the person in charge: *

Adresse postale: *

Office:

City: *

Postal Code: *

Work tel.: *

Home tel.:

Mobile Phone:

Fax:

E-mail: *

Event details

Name of the event:

Date of the event:

Place of the event:

Are you planning on selling tickets for your event:

Yes

If yes, what will be the admission charge:

For every ticket or object sold or for every admission price, what will be the portion paid to the Quebec Breast Cancer Foundation :

You also have to send an email to cercle@rubanrose.org.: *

I agree

You are also required to send an email to cercle@rubanrose.org including all relevant project details i.e. project description and budget. We must receive this email in order to analyze the project.

Will you be contacting sponsors to help with the event planning costs:

Yes

If yes, which:

The total amount raised must be handed in 30 days following the event, therefore on:

Promotional materials

If the Quebec Breast Cancer Foundation approves your event, uniquely as a partial or full recipient of the amounts collected during your event, the Foundation will be pleased to provide a limited quantity of promotional materials, as described below, for your promotional event. These promotional materials must be picked up at our offices or will be sent to you (to be determined by the Foundation). Please specify the desired amounts:

Ribbons:

Donation boxes:

Banners:

Other:

You are responsible for returning, at your expense, any unused materials within the 10 days following your event.

References

The Quebec Breast Cancer Foundation would like to have references from two people who have known you for at least two years. These people should be employers, professors, leaders of organizations where you have been a volunteer, social club leaders, etc. These people may not be members of your family or personal friends.

1st reference

First name:

Last name:

Address:

City:

Work tel.:

Home tel.:

Relationship to you:

2nd reference

First name:

Last name:

Address:

City:

Work tel.:

Home tel.:

Relationship to you:

Conditions

Please read our conditions thoroughly and check the following box to confirm that you accept them.

It is understood and agreed that any event shall first be authorized by the Quebec Breast Cancer Foundation. No event may be held without the express authorization of the executive director or his or her representative.
The Quebec Breast Cancer Foundation shall not advance funds nor provide volunteers for the holding of the event and it shall not be liable for the event or the undertakings entered into by the persons in charge thereof.
I acknowledge that the name and logo of the Quebec Breast Cancer Foundation are trademarks held by the Quebec Breast Cancer Foundation.
Before the event is publicized or held, the Quebec Breast Cancer Foundation shall approve the related proposal as well as any use of its name and logo.
It is understood and agreed that any advertising made in connection with the event (tickets, posters, Internet site, interviews, etc.), whether in print or in audio or virtual format, shall be approved by the Quebec Breast Cancer Foundation before it is printed and distributed.
Naming publicly the Quebec Breast Cancer Foundation as beneficiary of the event means that the total amount raised in connection therewith shall be remitted to the Quebec Breast Cancer Foundation within thirty (30) days following the event.
The event shall be held according to all applicable laws and shall not prejudice the reputation of the Quebec Breast Cancer Foundation.
Approval of the event by the Quebec Breast Cancer Foundation does not create a partnership relationship between the Foundation and the event and/or the persons in charge thereof.
The Quebec Breast Cancer Foundation reserves the right to withdraw its approval of the event at any time upon two (2) days prior notice and, where applicable, any use of the name and logo of the Foundation (advertising, tickets, posters, Internet site, etc.) in connection with the event shall cease immediately upon receipt of said notice and any promotional material associated with the Foundation shall be returned immediately to the Foundation.
The Foundation shall be indemnified from any and all losses, liabilities, claims, suits and damages, including defense costs, if any, that it may incur or that may be claimed from it in connection with the event.

Conditions: *

I accept the conditions

You will receive approval or refusal of your event from the Quebec Breast Cancer Foundation, as partial or full recipient of the
amounts collected, by e-mail or telephone in the ten (10) working days following your request.

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I Want to Contribute

Event proposal form