Start your own Penny Challenge!

The Pink Fund invites you to start your own penny challenge, by collecting spare change you can help a local breast cancer patient and their family.

Pennies for The Pink Fund
Name of Contact*
First Last
Today's Date*
MM
DD
YYYY
Address*
Street Address City State ZIP Code
Phone*
Email*
Name of Organization / Company (if applicable)
How did you hear about us?
Social Handles
Facebook
Twitter
Website
Instagram
Collection location information
Location Name*
Location Address*
Street Address City State ZIP Code
FUNDRAISING INFORMATION
Percentage or Goal Amount to be Given to / Raised for The Pink Fund*
Expected Date of Funds*
Please indicate the date when the funds can be expected by The Pink Fund. PLEASE NOTE: Funds must be received within 30 days of the event.
MM
DD
YYYY
APPLICANT SIGNATURE
I specifically agree to all the terms and conditions contained in the "Policies and Procedures for Third-Party Fundraisers" as part of this application. I understand that my event is not considered an approved event until written approval of my application is received from The Pink Fund. No amendment, modification, or waiver of any of the terms and conditions contained in this document and the "Policies" and at no time will The Pink Fund, or any representative of The Pink Fund, be responsible for the cost or staffing of my event, nor will The Pink Fund be liable for personal injuries or damages to property which may occur during my event. I agree to indemnify and hold harmless The Pink Fund and their employees, agents, and representatives from any and every claim, demand, suit, and payment related to or caused by my event.
Event Organizer's Printed Name*
Event Organizer's Signature*
Please use the field to digitally sign your name.
Today's Date*
MM
DD
YYYY

Start your own Penny Challenge!

Pennies for The Pink Fund

Social Handles

Collection location information

FUNDRAISING INFORMATION

APPLICANT SIGNATURE

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