Third Party Fundraising Application

General Information

Sponsoring Individual/Organization

Contact First Name

Contact Last Name

Address

Address Line 1

Address Line 2

City

Postal Code

Primary Phone Number

Secondary Phone Number

Preferred Method of Contact

Phone

Event Information

Name of Fundraising Activity/Event

Date

Time

Cost to Participate

Location

Briefly describe the proposed fundraising activity/event

How will the activity/event be promoted

Estimated proceeds from the event

Designated proceeds to CAP

Will other charitable organizations also benefit from this event/activity?

Yes

If yes, please list other beneficiaries and how they will benefit

How Can CAP Help?

The Cancer Assistance Program (CAP) is pleased to support your fundraising initiative in the following
ways. Please identify how CAP can be helpful

Check all that apply

Use of Cancer Assistance Program name and logo with CAP’s approval (prior to use)

CAP marketing and informational materials

Social media promotion on CAP’s Facebook, Twitter and Instagram pages

Issuing charitable tax receipts according to CRA guidelines (if eligible - see Guide for details)

CAP representative at the event*

*If a CAP representative is required at the event, what is the role of the CAP representative?

NOTE: Cancer Assistance Program cannot guarantee staff/volunteer presence at all events.

I have read the Cancer Assistance Program Third Party Fundraising Guide and hereby agree to
comply with CAP’s policies. I understand a breech of the guidelines may result in the end of my
partnership with the Cancer Assistance Program.