Tell us about your fundraising event

Title

First name

Last name

Address line 1

Address line 2

Town/ city

County

Country

Postcode

Phone

Mobile

Event

Fundraising Target

Event date

Event time

Event venue and address

Tell us a bit more about your fundraising event

Do you have a special reason for choosing Springhill Hospice to benefit from your Fundraising?

Online fundraising address (Just Giving, etc)

Would your workplace be interested in fundraising for us?

Does your work place offer match funding?

Can we feature your event on the Hospice website and/or any relevant social media posts?

Would you like a Springhill Hospice representative to come to your event?

*Please note whilst we will try to arrange for someone to attend we cannot guarantee this.

Fundraising materials order form

Let us know if you need any fundraising materials from us - we're happy to help!

Paper sponsor forms

Literature about the Hospice

'Supporting Springhill' A2 poster

Balloons

Letter of Authority

Support with posters and/or tickets:

Springhill Hospice t-shirts

S M L XL XXL Junior (9-11 yrs)

Collecting buckets

Please specify quantities

Fundraising Agreement

By signing and returning this form I agree:

I have read, understand and will adhere to the guidelines provided in the enclosed Fundraising Event Key Information Pack.
I am committing to raise funds for Springhill Hospice.
I will use my best endeavours to raise money for Springhill Hospice and not do anything to bring Springhill Hospice into disrepute.
I will obtain and pay Springhill Hospice all money raised within six weeks of my fundraising activity.
I will return any unused fundraising materials to Springhill Hospice.
I will inform Springhill Hospice at the earliest possible opportunity if I have had to withdraw from or cancel my event due to injury or other circumstances.
I understand that Springhill Hospice may terminate my rights to raise funds at any time.

Declaration:

Signature

Date

If you are under 18, please ask your parents or guardians to give their consent by signing below:

Name

Relationship

Signature

Date

If you require assistance with completing this form or if you would like to discuss your fundraising activity, please contact us on: 01706 641790 (opt 1) or email: fundraising@springhill.org.uk