Lance Armstrong Foundation: Submit Business/Organization Event Proposal

* required information

Business/Organization Event Proposal Form

Please know that it is very important for the LAF to be aware of events and fundraisers that are being held for our benefit. The LAF is not able to plan or implement any proposals brought to us; we will aid you in any way we are able, but we do not have the capacity to plan, schedule or organize your event. Thank you for understanding our limitations in this situation. In order to participate in the Grassroots Fundraising program for your business or organization, please fill out and submit the form below. Thank you for your time and support! Note – if you are a LIVESTRONG Challenge participant (or wish to participate in this event) please do not register your event here in the Grassroots program, but instead, please register for the LIVESTRONG Challenge. Funds raised through the Grassroots program do not count towards the LIVESTRONG Challenge - thanks!
First Name:*
Last Name:*
Organization/Company Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Email:*
Phone:*
Province:
Country:
Event Name:*
Event Description:*
Event Start Date:*	(mm/dd/yyyy)
Event End Date:*	(mm/dd/yyyy)
Event Web Site:
Event City:
Event State:
Additional Comments:

Type the characters you see in the picture below:*