Community Promotions Application

Name of Business*:

Contact Person*:

Position*:

Address*:

City*: State*: Zip Code*:

Telephone*: Fax:

Email*:

Type of Event/Promotion*:

If "Other", Describe Type of Event:

Date: Time: Place*:

Number of projected attendees*:

Please list all beneficiaries of this event/promotion.*

Briefly describe how event will be promoted.*

PLEASE CAREFULLY READ THE FOLLOWING:

1. Prior to use, any name/logo of To Celebrate Life Breast Cancer Foundation and all applicant’s media material using said name/logo, must follow our guidelines and is subject to final approval by To Celebrate Life Breast Cancer Foundation. Submission via email in the form of a .pdf file is sufficient.

2. Would you like us to provide our promotional material at your event?

3. To Celebrate Life Breast Cancer Foundation does not share its database.

By pressing submit, you agree to the above terms.

* indicates a required field



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