FUNDRAISE on behalf of the ISA

Let’s work together

Interested in fundraising on our behalf? Fill out some information and we will be in touch shortly!

Name

First Name

Last Name

Phone

(###)

###

####

Organisation (If applicable)

Event Name

Event Location

Date of Proposed Event

YYYY

Expected attendance

Expected donation to the Irish Support Agency

If an amount is unknown, please state the % contribution

Brief description of your event

Does your event require insurance and if so, do you hold the relevant insurance required?

Yes

N/A

Are there any other beneficiaries besides the Irish Support Agency

If yes, please give the name of the other beneficiaries

If yes, how will the funds be divided?

The Irish Support Agency is happy to promote your event once it has been approved. Please give details of any other expectations you may have in regards to our involvement