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Third Party Activity Proposal

Type of Activity: Placement

  • Fundraising Event

  • Media/Promotional

  • Non-Fundraising/Social Event

  • Other (describe):

  • Product

Host Organization/Individual:

Description of purpose/mission of Host Organization:

If Host is an individual, provide a brief description of professional/social affiliations/interests:

Event Coordinator: Address: City: Phone:

St: Email:

Zip

Name of Event: Location: Address: City: Describe the event:

Date:

St:

Zip:

Event Timetable & Agenda:

Plans for publicity and event promotion. In particular, any proposed use of the BPC name/logo:

For Fundraising Events Only: Fundraising Methods (admission, auction, sponsorships…):

Benefits provided to attendees:

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