Partner Event Beneficiary Commitment Please fill out this form and return via email to info@moyerfoundation.org Once received, The Moyer Foundation will evaluate your requests, and return a final agreement for signature. This form must be signed BEFORE The Moyer Foundation name/image can be used in any promotional materials produced by an outside organization/individual. Once the form is returned, and your event is approved as a partner event, you may request logos and use The Moyer Foundation name to promote your event. Company/Organization name as you would like it to appear in donor recognition materials: ______________ __________ (referred to as “PARTNER” in all mentions below) Contact: Address: Phone: Fax: Email: EVENT DATE: (or month/days of promotion): EVENT NAME: KIDS HELPING KIDS? (Are children the primary fundraisers in this event? ( ) YES ( ) NO DESCRIPTION OF FUNDRAISING ACTIVITY/EVENT (and how you plan to raise the funds): ESTIMATED FUNDRAISING OUTLINE: GOAL ($ Amount): INCOME: (how will proceeds be generated, i.e. price of tickets, sponsorship levels) The Moyer Foundation Partner Event Form Page 1 of 3 % OF PROCEEDS SUPPORTING THE MOYER FOUNDATION: Are there other organizations benefiting from this event? If yes, please name: Will you be collecting the names and addresses of donors at your event? o If yes, can you provide the donor information to the Foundation for donor recognition? (Thank you letters) ( ) YES ( ) NO, N/A DISPLAY AND MATERIALS REQUESTS (Please mark and “X” next to all that apply): ___ Brochures- quantity : _______________ (50 max) ___ Donation envelopes- quantity:_________________ ___ Moyer Foundation Video (on DVD) ___ Poster (must be picked up or mailed and returned to TMF office OTHER REQUESTS (i.e. volunteers, materials, etc.) - Please be as specific as possible regarding any additional requests for support that you anticipate needing from the Foundation. CONTRIBUTION: (PARTNER) agrees to deliver proceeds from the event/project/promotion within 30 days of event date. FOUNDATION RECOGNITION: The Moyer Foundation will list (PARTNER) as a donor/corporate partner in the Foundation’s Annual Report and web site The Moyer Foundation will list the event on Moyer Foundation Web Site- under “PARTNER EVENTS” The Moyer Foundation may list the event in the quarterly newsletter, pending editorial space and print deadlines as determined by The Moyer Foundation (MORE) The Moyer Foundation Partner Event Form Page 2 of 3 Trademark usage (PARTNER) may use the Foundation name and logo in promotional collateral as dictated in the following terms and conditions. License to Use Trademarks (a) The Moyer Foundation (TMF) hereby grants to Recipient, subject to the following terms and conditions, a royalty-free, non-exclusive, non-transferable, personal license to use TMF name and logo (the “Trademarks”) within the United States, in connection with TMF. (b) Recipient acknowledges TMF’s exclusive rights in the Trademarks, and further acknowledges that the Trademarks are unique and original to TMF and that TMF is the owner thereof. When using the Trademarks, Recipient shall include designations “TM” where appropriate. Recipient shall use the Trademarks only in the manner and to the extent specifically permitted by this Agreement and as approved by TMF, and shall comply with all applicable laws and regulations pertaining to the proper use and designation of trademarks. (c) Recipient shall not do or cause to be done anything that in any way challenges or impairs or tends to challenge or impair TMF’s right, title, or interest in the Trademarks. Recipient shall not use the Trademarks for any political or religious purposes, without obtaining TMF’s prior written approval. (d) Recipient shall provide to TMF the opportunity to review all documents, publications or promotional materials that contain any of the Trademarks (the “Documentation”) prior to releasing such materials to the public. If after such review, TMF believes that the Trademarks are not being used appropriately, TMF may require Recipient to make changes to the Documentation. Recipient shall not release the Documentation to the public without making the required changes. 8. Indemnification. Recipient shall indemnify and hold harmless TMF, its officers, trustees, employees, agents, successors and assigns for any and all losses, damages, claims, costs and expenses, interest, awards, judgments and penalties (including, without limitation, attorneys’ and consultants’ fees and expenses), actually suffered or incurred by them (including, without limitation, any action brought or otherwise initiated by any of them) arising out of or resulting in any way from any Moyer Foundation event, activities, projects or Recipient’s use of the Trademarks. 9. Termination. TMF may terminate this Agreement for any reason upon 30 days’ advance written notice of termination. Section 8 shall survive any termination of this Agreement. Acknowledgement of Commitment By signing below, (PARTNER) agrees to the commitments as stated in the terms and conditions above: X_____________________________________________ (PARTNER) Representative Date____________ X_____________________________________________ The Moyer Foundation Representative Date____________ X_____________________________________________ Executive Director The Moyer Foundation Partner Event Form Date____________ Page 3 of 3