Philanthropy Registration

Organization:
Philanthropy Chair Name:
Phone # :
E-mail:

List 3 possible dates, including the times of the event, in order of your preference. You will be notified by e-mail when your date is approved.

1.
2.
3.

*Please note: due to the quantity of philanthropic events, some dates may overlap with other organizations.

Please briefly describe the event, who will be participating, where it will be held, etc.:

Certified by:

Check here to certify. * By inputing my name and checking here, I certify that the information above is complete and true to the best of my knowledge.