Community Event Proposal Form

Use the form below to send us your information OR
Click HERE to download a fax-back form

CONTACT INFORMATION

Name of organization planning event:

Please select the category that best describes you: Corporation School Community Group Service Club Individual

Name of main contact person: Address:

Town/City: Province: Postal Code:

Email: Website:

Phone Numbers: Home: Business: Fax: Cell:

EVENT INFORMATION
Name of event:
Date/time of event:	Date: Time:
Location of event:
Please give a brief description of the nature of the event and how the funds will be raised:
What inspired you to hold this event for William Osler Health System?
Are any other charities receiving funds from this event:	Yes: No If so, who?:
What is your fundraising goal?
Where would you like your funds designated?	Brampton Civic Hospital Etobicoke General Hospital Area of Greatest Need
Would you consider a multi-year commitment?	Yes, I would like more information No, not at this time
Comments: