Survey - Fundraise Your Way Interest Form - Les Turner ALS Foundation

Fundraise Your Way Interest Form

Thank you for your interest in the Les Turner ALS Foundation's Fundraise Your Way program to support people living with ALS. Submitting this form does not mean you are committed to hosting a fundraiser. We just want to learn what you're interested in so we can help you get started! A member of our team with be in touch within two business days of submission to follow up.

Section A

1.

Please provide your contact information:

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

Yes, I would like to receive e-mail from Les Turner ALS Foundation

*2.

Question - Required - Tell us why you would like to fundraise for people living with ALS:

*3.

Question - Required - What type of fundraiser are you interested in?

Online Individual or Team Fundraiser: Harness our simple online fundraising platform to raise funds on behalf of a special occasion (ex. birthday, anniversary, wedding), school event or create your own.

Plan an Event*: Use your planning talents to host an event where friends, family and community members must RSVP or purchase a ticket to attend. (*If selected, please complete Section B below)

Attend an Event: Join one of our signature events like the ALS Walk for Life or Strike Out ALS 5k and 1 Mile Run, Walk & Roll.

Section B

If you selected the "Plan an Event" option above, please complete this section:

4.

Question - Not Required - Where will your event be located?

5.

Question - Not Required - What is the date of your event?

6.

Question - Not Required - What is your fundraising goal?

7.

Question - Not Required - How many guests do you expect to attend?

8.

Question - Not Required - Please provide a brief description of the event and how the event will raise funds (i.e. ticket sales, sponsorships, raffle, silent auction, etc.):

9.

Question - Not Required - Any other details you would like us to know about your event?