503-914-1476
Todays Date:
• Primary contacts name:
• Primary contacts email:
Primary contacts phone number:
Related Web site URI, if any:
• Name of the sponsoring business/organization/individual:
• Title/type of the event/activity/product from which proceeds to be donated to the Share Program (e.g., ticket sales, product or art sale, etc.)
• Brief description of the event/activity/product:
• Date(s) and time (s) of event/activity:
• Location of event/activity:
• Event/product cost (if known currently):
(If an event) Open to public or private? All ages or 21+?: Percentage of proceeds you would like to donate to AFTA (if known currently):
How did you hear about AFTA?
Additional comments:
