CROSSWAY CHURCH - PHOENIX, ARIZONA
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This form is used to request support or resources for a community event. Submitting this form does not guarantee approval and all requests are subject to review.
Event Information
Name of Event
Event Address
Main Crossroads
City
State
Zip/Postal Code
Event Date
Month
January
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December
Date
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2046
Event Coordinator Information
Coordinator First Name
Coordinator Last Name
Phone Number
Email
References
Please provide two references for the event coordinator.
Reference 1:
Reference 2:
Event Details
Estimated Number of Individuals Expected at the Event
What specific needs could be met at this event through product or resource support?
Acknowledgment and Consent
All resources, products, or services provided for this event are given at no cost and are intended solely for free distribution to individuals in need during the approved event. I agree that no items received through this support request will be sold, traded, bartered, raffled, or exchanged for money, services, donations, or anything of value. Resources may not be used for fundraising or personal gain. I understand that failure to follow this agreement may result in the denial of current or future event support. By typing my name below, I confirm that I understand and agree to the terms above and acknowledge that my typed name serves as my electronic signature.
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