Applicant Information
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Question - Required -
First Name:
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Last Name:
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Company/Organization:
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Address 1:
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Address 2:
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City:
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State:
Please select response
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - District of Columbia
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
FM - Federated States of Micronesia
GU - Guam
MH - Marshall Islands
MP - Northern Mariana Islands
PR - Puerto Rico
PW - Palau
VI - Virgin Islands
AA - Armed Forces Americas
AE - Armed Forces
AP - Armed Forces Pacific
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Zipcode:
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Daytime Phone Number:
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Email Address:
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Have you previously conducted a fundraiser to benefit UNICEF?
Please select response
Yes
No
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If yes, when and where?
Fundraiser Details
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Please describe the fundraising activity:
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Fundraiser date(s):
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Fundraiser location:
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Estimated Total Dollar Amount expected to be collected:
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Estimated Total Dollar Amount of expenses expected to be paid to run the event:
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Will alcohol be served or sold at the event?
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Yes
No
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Will children be present at the event?
Please select response
Yes
No
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Is the U.S. Fund for UNICEF the only beneficiary?
Please select response
Yes
No
Question - Not Required -
If no, please describe others:
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Is the Fundraiser to raise funds for UNICEF's general fund to support all UNICEF programs or for a specific program?
Please select response
General Fund
Specific Program
Other
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If you selected 'Specific Program' or 'Other', please describe:
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Question - Required -
Please provide the marketing plan for the proposed fundraiser (describe all materials such as flyers, advertisements, and other communications proposed in the plan):
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Question - Required -
Please describe how the UNICEF/U.S. Fund for UNICEF name/logo will be used if event is approved (please review logo guidelines on the terms & conditions link below. Unless you receive permission, please do not use the UNICEF logo on any printed or electronic materials created for this event. UNICEF guidelines stipulate that the words "All Proceeds to Benefit UNICEF" should be used in place of the logo):
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Question - Required -
Please provide the financial details of the fundraiser (Product pricing; sales projections, anticipated contribution to USF):
Terms & Conditions
If this Application is submitted and approved in email by the U.S. Fund for UNICEF (“USF”), it shall become a contract and shall be subject to the following terms:
1. The Applicant will produce the Fundraiser with high standards, professionalism, and good taste, and will do nothing to cause detriment to the reputation or goodwill of USF or UNICEF. 2. Contributions to USF which are received by the Applicant (“Individual Contributions”) and made by the Applicant will be sent to USF not later than thirty days after the Fundraiser. The Individual Contribution and the Applicant’s Contribution will be paid in United States dollars and sent to: United States Fund for UNICEF 125 Maiden Lane New York, NY 10038 Department: ECP 3. In performing its obligations under this Application, the Applicant will comply with all applicable federal, state, and local laws and regulations including, but not limited to, all laws and regulations that regulate statements to the public concerning the amount of the Contribution. Each reference to the Applicant's Contribution will specifically and accurately describe the Applicant's Contribution (e.g., “the Applicant will contribute 100% of the proceeds from the event/product/service to USF on between X date and X date”). Applicant will state that no portion of the purchase price of any goods/services sold at the Fundraiser is tax deductible unless checks are made payable directly by the Individual to the U.S. Fund for UNICEF. If such is the case, the Individual donor will receive an acknowledgement letter from the USF for use as tax-deductible receipt. 4. The Applicant will not represent that USF or UNICEF is a producer, co producer, sponsor, or presenter of the Fundraiser. 5. This Application does not create any partnership, agency, or joint venture relationship between the Applicant and USF or UNICEF, and neither USF or UNICEF nor the Applicant will make any representations to the contrary. 6. Upon approval of the event, applicant may state in its promotional material that it will donate proceeds from the Fundraiser to the USF as provided in Section 3 herein. In connection with such statements, and for no other purpose, the USF grants to the Applicant a non-exclusive license to use the USF name and logo upon and in connection with the Fundraiser. The Applicant shall have no right to grant any sublicenses under this Agreement. The Applicant will provide USF with sample copies for approval of all publicity or materials that include USF's name or logo prior to publication or distribution. 7. If USF determines, in its sole discretion, that the Fundraiser or related activities could injure the goodwill or reputation of USF, USF may terminate this Agreement immediately. Upon the expiration or sooner termination of Fundraiser, the Applicant shall discontinue using the USF name and logo and all materials that reference the Fundraiser.
By clicking "Submit" I declare the information provided by me in this Application is true, correct and complete, and intend to be legally bound by its terms.