Show You Care Survey

Show You Care is a sponsor-supported community betterment program designed to act as a catalyst for our viewers to become involved in a number of worthwhile activities designed to help make life a little more manageable for those who are less fortunate than others. We cannot possibly support every non-profit or every event in eastern Iowa, so the following information will help Show You Care direct its attention where it will do the most good.
1.Name of the Organization:
*
2.Name & Nature of Event: (In 150 words or less, describe the event. If not an event, what is advertising to be used for?)*
3.Date & Time of Event
*
4.Location of event:
*
5.Who will benefit from the event?
*
6.Expected number of participants (goal):
*
7.Expected funds to be raised (if fundraiser):
8.Describe how the funds will be used (how much stays local, how much for administration, etc.):
*
9.Geographic influence of event (where will benefits be felt, where will participants come from):
*
10.What other media does the event have or expect to have:
*
11.Your Contact Information:
Contact Name #1*
Contact Phone #1*
Contact Email #1*
Contact Address #1*
Contact Name #2
Contact Phone #2
Contact Email #2
Contact Address #2
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