Search

Fundraising Application

- This form is not accepting responses at this time.
  
  Organization Name REQUIRED Please fill out this field. Please enter valid data.
  
  Event Coordinator Information
  
  Name (First and Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Title at Organization REQUIRED Please fill out this field. Please enter valid data.
  
  Event Information
  
  Event Name REQUIRED Please fill out this field. Please enter valid data.
  
  Start Date of Event REQUIRED Please fill out this field. Please enter a date.
  
  End Date of Event REQUIRED Please fill out this field. Please enter a date.
  
  Fundraising Goal REQUIRED Please fill out this field. Please enter valid data.
  
  Tentative date that money or items collected will be delivered to Catholic Charities. We kindly as that you call (812)232-1447, Option 3, in advance to schedule a delivery time. Please enter a date.
  
  Do you have a question or more information to share about your event? Please list it here.
  
  I have read, understand and agree to Catholic Charities Terre Haute's third-party event guidelines.
  I Agree Please select this field.
  
  Submit