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Event Application
Step 1 of 7 - Event Details
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Name of Event
*
Event Host
Do you have a location for the event?
*
YES
NO
Event Address
*
Please insert the desired location of the event.
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Event Date
*
Event Time
*
:
HH
MM
AM
PM
Your Name
*
First
Last
Your Email
*
Enter Email
Confirm Email
Your Phone
*
Beneficiary
*
Is this fundraiser open to the public?
*
YES
NO
Event Overview
Please provide a brief description of your proposed event.
Promotional Activities
Please briefly outline your plans for promoting the event.
Will any organization other than Inova Health System Benefit from the event?
*
YES
NO
Please list other organizations.
*
Have you hosted this event before?
YES
NO
Sponsorship Amount
Tickets Amount
Donations Amount
Auction Amount
Other
Venue Rental
Food Expenses
Advertising Expenses
Printing Expenses
Other
Projected Income Total
Automatically calculated from Projected Income data.
Projected Expenses Total
Automatically calculated from Projected Expenses data.
Total Donation
Displays the total projected donation to Inova Health System Foundation.
Verify Information
*
By submitting this form, you verify that the information submitted is accurate to the best of your knowledge and that you have read and will follow all Event guidelines as set forth by Inova Health Foundation.
I agree.
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First Name
Last Name
Email
*
Name
This field is for validation purposes and should be left unchanged.
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