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First Name:
Last Name:
Address:
City, State, Zip:
Home Phone:
Work Phone:
Email Address:
Organization Name:
Amount of Money Expected to Raise:	$

Briefly explain how the money will be raised and what portion will benefit the MCF:

Date of Event:
Event Location:
Time of Event:
If permits are required, who will be responsible for securing them? :
Estimated cost of Event:	$

Please Break Down Costs Below:

Printing Items:

Total Costs of Printing Items:

$

Prizes:

Total Costs of Prizes:

$

Food/Beverage:

Total Costs of Food/Beverage:

$

Fees (green fees, entrance fees) :

Total Costs of Fees:

$

Entertainment:

Total Costs of Entertainment:

$

Other Expenses (please list) :

Total Costs of Other Expenses:

$

Expected Number in Attendance:
How will this event be publicized? :
What type of support are you expecting from MCF? :

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