Fundraising Proposal Form

Thank you for your interest in raising awareness and supporting the mission of the Glut1 Deficiency Foundation through your very own fundraiser.

Please complete the form below and we'll be back in touch soon!

Fundraising Proposal Form

Contact Information

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Event Information

Location of Event(Required)

Venue for Event(Required)

Brief Description of Event(Required)

Will other charitable organizations benefit from this event? If yes, please provide the name of the organization and explain how proceeds will be divided:(Required)

What is your "why" for hosting this event?(Required)

Any additional comments or information:

Materials Needed

Materials Request:

brochures

buttons

bracelets

pens

Quantity of Materials Requested:

Confirm and Submit

I have read the guidelines, information, and Frequently Asked Questions for hosting a third-party fundraiser.(Required)

yes, and I have read and agree to comply

no, I do not agree to comply