Sponsor a Survivor

Pink Fund HEROES give the gift of ONE LESS WORRY by committing to providing $3,000 to ensure a survivor has a 90-day grant to cover non-medical expenses to cover the cost of living expenses during treatment for breast cancer.

Sponsor a Survivor - ORGANIZER INFORMATION
Name of Contact*
First Last
Name of Organization / Company (if applicable)
Today's Date*
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Address*
Street Address City State ZIP Code
Phone*
Email*
How did you hear about us?
Social Handles
Facebook
Website
Twitter
Instagram
Brief description of how you will raise the money*
FUNDRAISING INFORMATION
Goal Amount - minimum $3,000 commitment*
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.
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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

Sponsor a Survivor

Sponsor a Survivor - ORGANIZER INFORMATION

Social Handles

FUNDRAISING INFORMATION

APPLICANT SIGNATURE

The Financial Side Effects of Cancer

Financial Toxicity

Job Loss

Bankruptcy

Impact on Savings

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