EmailMe Form - W.A.G.S. 4 Kids Partnership Request

Name
First Last
Company Name *
Please describe your product or service:
Date business was established/organized:
MM / DD / YYYY
Company Website: *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email *
Phone *
### - ### - ####
Have you or your organization ever partnered with W.A.G.S. 4 Kids before?
Yes
No
If yes, describe previous partnership:
Have you ever done a project with another non-profit cause before?:
Yes
No
If yes, describe previous partnership:
Type of Fundraiser: *
How will funds be raised?: *
Focus & reach of event: *
How much do you expect to raise (minus expenses)?: *
$ Dollars . Cents
Percentage of proceeds to W.A.G.S. 4 Kids: *
Remaining proceeds to go to:
Assistance, if any, requested from W.A.G.S. 4 Kids:
Other comments: