Pathways SMI Fundraising Application

Pathways Serious Mental Illness Society

Pathways SMI is a family-support organization, providing help for those who have relatives with mental illness. We offer personal support and information, education, awareness and advocacy. For more information on our programs and services, please visit our website.

Question Title

* 1. Application Date

Date

Question Title

* 2. Contact Information

First & Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 3. Event Name

Question Title

* 4. Event Description

Question Title

* 5. Event Date & Time

Date / Time

Date

Time

AM/PM

Question Title

* 6. Terms & Conditions

By checking this box, you understand and agree to submit all post-event materials to Pathways SMI (all funds, the financial form and the donation form) within 10 days after your event. For more information, please see the checklist page.

By checking this box, you understand and agree to send all promotional materials to Pathways SMI for approval prior to distribution.

By checking this box, you understand and agree to Pathways SMI’s third party guidelines.