Thank you for your interest in supporting Women Against Abuse and survivors of intimate partner violence. We are so grateful to community members and groups who host fundraising events and campaigns to benefit our work. Your investment makes such a difference!Please complete the form below and allow three weeks for a response. We are unable to accommodate last minute requests.If you would like to speak with a Women Against Abuse team member after completing this form, you may contact our Development Associate Nicole DelRossi at ndelrossi@womenagainstabuse.org Question Title * 1. Please tell us about yourself and/or your organization! Contact Person: * Organization/Company: (if applicable) Address: * City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Phone Number: Question Title * 2. What is the name of your fundraising event or campaign? Question Title * 3. Please describe your fundraising event or campaign Question Title * 4. Please enter the date or timeframe for your fundraiser Start Date Date End Date Date Question Title * 5. Is this a new or first time fundraiser? Yes No Question Title * 6. How will your fundraiser take place? Indoors Outdoors Virtually/Web-based Question Title * 7. Please fill in as much information as possible about your fundraiser. Complete answers greatly assist us in responding to your request. We understand that fundraisers may be at various stages of planning. Please write in "TBD" if the response is to be determined. Location Start Time End Time Target Audience (e.g. college students, health professionals, general public) Expected Audience Size Ticket or Admission Fee (if applicable) Event Website and/or Hashtag (if applicable) Anticipated date that funds will be donated to Women Against Abuse Please add anything else you would like us to know Question Title * 8. How can we assist you in preparing for this fundraiser? Provide organization materials (brochures, wristbands) Provide domestic violence resources (hotline cards, fact sheets, flyers) None of the above Other (please specify) Question Title * 9. How did you become familiar with Women Against Abuse? Question Title * 10. I have read the guidelines below and agree to abide by them. My fundraiser is aligned with Women Against Abuse's mission and values.The mission of Women Against Abuse is to provide quality and compassionate services, in a manner that fosters self-respect and independence in persons who have been victimized by domestic violence, and to the lead the struggle to end intimate partner violence. I understand that any marketing materials that contain the Women Against Abuse name or logo must be approved by the organization prior to distribution; and marketing materials will state that the proceeds from the fundraiser are for the benefit of Women Against Abuse. I will submit the proceeds raised within 30 days of the conclusion of the fundraiser. My fundraiser will comply with all municipal, county, state and federal laws; and I understand that Women Against Abuse will not be held liable for any incidents related to my fundraiser. I have read the full terms and conditions and agree to abide by these guidelines. Done
