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Third Party Requests

   

Interested in having an event benefiting the American Diabetes Association?

Please review the third party guidlines here, and fill out the third party event form below to submit a request. Due to scheduling constraints, we typically will not be able to accomodate requests with less than two weeks advance notice. Thank you so much for your interest and we look forward to hearing from you!

Third Party Event Request

  
What type of event do you plan to host? (i.e. golf outing, dance, garage sale)
Location Address
City
State
Event Date
Event Start Time
Event End Time
Contact Name
Phone Number
Email Address
Purpose of the Event (i.e. awareness, education, social function)
Anticipated Number of Participants
Will any other organization benefit from this event? If yes, please specify.
Estimated Contribution to ADA
Will you contact businesses for donations/sponsorship?
If yes, please list the names to avoid duplication with ADA efforts
Date ADA Will Receive Proceeds (If donating by check, please send one check incorporating cash received. Make checks payable to ADA. DO NOT SEND CASH.)
Types of Materials Requested (All requests are based on availability. Materials may be picked up at our office, 150 Monument Rd, Suite 100, Bala Cynwyd, PA 19004)
     

If you have any questions, please contact Christine Sagge at csagge@diabetes.org or (610) 828-5003 ext 4644.

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American Diabetes Association • 1701 North Beauregard Street • Alexandria, VA 22311 • 1-800-DIABETES (800-342-2383)

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