2022 Month of Memories Community Partner Participation Form

Name

Company

Phone Number

Your email

Address

Main Contact Name

Main Contact Phone

Main Contact email

Count Me In!
Change Round-UpSpecialty Cocktail or Menu ItemPercentage of SalesCustom Idea

Please let us know the name of the promotion and the description surrounding the promotion. Include all the details of the specialty item and/or promotion.

Keep Memory Alive's logo use is not permitted without approval. The Fundraiser is responsible for marketing and promoting the event and/or promotions including media, press releases, posters, flyers and advertising. KMA reserves the right to review and approve all such marketing materials in advance. Publicity may not suggest that the event and/or promotion is being sponsored, co-sponsored, or produced by KMA, but instead must state that KMA is the beneficiary.

By typing your name you agree to the suggested $250 minimum donation. Final donation due on or before 12/16/22 and you have read and will abide by the guidelines.