Community Partnership Application Form (fundraiser hosting)

Please tell us about the event you would like to hold to benefit The Kidney Foundation.

The fields followed by an asterisk (*) indicate information that must be supplied to allow us to process your request. Rest assured that all information provided will remain strictly confidential.

First Name *This question is required.

Last Name *This question is required.

Organization Name (if applicable):

Street Address

Apt/Suite/Office

City *This question is required.

Postal Code

Phone Number (including the area code): *This question is required.

Best time to call you: *This question is required.

Email Address *This question is required. This question requires a valid email address.

Event Name:

Event Inspiration:

Brief Event Description:

1. Proposed Event Date: This question requires a valid date format of MM/DD/YYYY.

calendar

Proposed Venue:

Expected Revenue:

Expected Revenue Sources (ticket sales, raffles, pledges, etc.):

Comments: