Name of Host(s):____________________________________________________________

Address:___________________________________________________________________

Phone:________________________ Email:_____________________________________

Date & Time of Party:_________________________________________________________

Location of Party (if different from address):_______________________________________

Description/Type of Party/Theme:_______________________________________________

__________________________________________________________________________

Anticipated number attending:_____________

Requested donation per person:_______________

Would you be willing to include PCAF supporters who are interested in attending the event but are not on an invitation list for another party? Yes How Many? _______ No

Would you like to have a PCAF representative make a brief presentation at the event and make a pitch for donations? Yes No

Or, would you like to make a pitch? We can provide some tips to make it easy! Yes No

Needs from PCAF:

Party theme ideas Y N

AIDS Ribbons Y N

PCAF information Y N

AIDS information Y N

Guest Speaker Y N

Invitations: How many? _____

Anything else? ________________________________________________________

____________________________________________________________________

Return to Jill at: Pierce County AIDS Foundation, 625 Commerce Suite 10, Tacoma WA 98402

Fax: (253) 597-6682