Fundraiser Registration Agreement



  • MM slash DD slash YYYY
  • :
  • MM slash DD slash YYYY
    (Donations, including items collected, should be delivered to the Mario Lemieux Foundation within two weeks of this date. Arrangements to deliver donations must be made at least 48 hours in advance of delivery.)
  • :
  • Drop files here or
    Max. file size: 32 MB.
    • A Foundation representative may be able to attend your fundraising event - to ask for a representative or materials, please contact Stephanie Spezialetti, Program Manager at 412-281- 3466 or at least three weeks before the event.
    • 3.) SIGNATURE

    • I fully understand and agree to comply with the terms outlined in the Foundation’s Community Fundraising Guidelines. I agree to act in a professional manner in conducting the fundraising activity and uphold the integrity and values of the Foundation. I also accept the obligation to remit the funds raised to the Mario Lemieux Foundation within two weeks of the event’s conclusion.
    • Reset signature Signature locked. Reset to sign again
    • MM slash DD slash YYYY
    • This form is due four weeks prior to the proposed event. Completion of this form does not insure approval. Upon approval, you will receive an approved signed copy of the application form for your records.

      If you have any questions regarding this form or your fundraising event, please contact Stephanie Spezialetti, Program Manager, at 412-281-3466.

      Mario Lemieux Foundation is a 501(c)(3) organization. The official registration and financial information of the Mario Lemieux Foundation may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.
    • This field is for validation purposes and should be left unchanged.