Edit ModuleShow Tags
Edit ModuleShow Tags

2017 Social Register

Submissions due by June 9, 2017

*Please ensure you are submitting only one form per organization.

*Events eligible for inclusion must be between Sept. 1, 2017 and Aug. 30, 2018. You also may include events without a specific date as long as you know and provide the month in which they will occur. Furthermore, if some of your event details become available after you submit, please email them to charitylistings@gulfshorelife.com. You may email them even once the issue is published, as we will be publishing an online update to the calendar at a later date. We strongly encourage that you still submit your nonprofit information (the first 10 fields of this form) even if you have no events. 

*Past users have found Firefox to be problematic when completing this form. Please use another web browser if possible. You will know we have successfully received your submission if you receive an automatically generated email confirmation shortly after clicking "Submit." (It may land in your spam folder.) Please ignore any email reminders once you have received this confirmation.

Nonprofit Organization Name:
501(c)3 Tax ID Number (required):
Short Description of Nonprofit Organization (30 WORDS MAXIMUM):
Nonprofit Executive Director (local office):
Nonprofit Phone Number (local office):  Please format as (123) 456-7890
Nonprofit Address (local office):
City, State:
Zip Code:
 Nonprofit Website:  Please format as website.com (no www.)
Link to Nonprofit's Charity Navigator and/or GuideStar page (if applicable; would appear online):  
***  
Event Title:
Event Date:  Please format as Month, date, year (ex: Nov. 21-23, 2017)
Event Venue:
 Event Start Time:  (ex: 11 a.m. , noon, 1:30 p.m.)
Event Ticket Price:
Event Dress Code:  (ex: black-tie, semi-formal, business-casual, casual)
Event Chair(s):  
Event Contact Person Name, Phone and Email:  Please format phone number as (123) 456-7890
Event Website:  Please format as website.com (no www.)
-  
Event Title:
Event Date:  Please format as Month, date, year (ex: Nov. 21-23, 2017)
Event Venue:
Event Start Time:  (ex: 11 a.m. , noon, 1:30 p.m.)
Event Ticket Price:
Event Dress Code:  (ex: black-tie, semi-formal, business-casual, casual)
Event Chair(s):  
Event Contact Person Name, Phone and Email:  Please format phone number as (123) 456-7890
Website for Other Event:   Please format as website.com (no www.)
-  
Event Title: 
Event Date:   Please format as Month, date, year (ex: Nov. 21-23, 2017)
Event Venue: 
Event Start Time:  (ex: 11 a.m. , noon, 1:30 p.m.)
Event Ticket price: 
Event Dress code:   (ex: black-tie, semi-formal, business-casual, casual)
Event Chair(s):  
Event Contact Person Name, Phone and Email:   Please format phone number as (123) 456-7890
Event Website:  Please format as website.com (no www.)
***  
*(Web inclusion only) Event Title: 
*(Web inclusion only) Event Date:   Please format as Month, date, year (ex: Nov. 21-23, 2017)
*(Web inclusion only) Event Venue: 
*(Web inclusion only) Event Start Time:  (ex: 11 a.m., noon, 6:30 p.m.)
*(Web inclusion only) Event Ticket price: 
*(Web inclusion only) Event Dress code:  (ex: black-tie, semi-formal, business-casual, casual)
*(Web inclusion only) Event Chair(s):  
*(Web inclusion only) Event Contact Person Name, Phone and Email:   Please format phone number as (123) 456-7890
*(Web inclusion only) Event Website:   Please format as website.com (no www.)
***  
*(Web inclusion only) Event Title: 
*(Web inclusion only) Event Date:   Please format as Month, date, year (ex: Nov. 21-23, 2017)
*(Web inclusion only) Event Venue: 
*(Web inclusion only) Event Start Time:  (ex: 11 a.m., noon, 6:30 p.m.)
*(Web inclusion only) Event Ticket price: 
*(Web inclusion only) Event Dress code:  (ex: black-tie, semi-formal, business-casual, casual)
*(Web inclusion only) Event Chair(s):  
*(Web inclusion only) Event Contact Person Name, Phone and Email:   Please format phone number as (123) 456-7890
*(Web inclusion only) Event Website:   Please format as website.com (no www.)
 

This organization agrees to distribute an email blast to its own list of subscribers directing them to a free, digital version of Gulfshore Life’s 2017 Social Register:

 Yes
 No

Approximate number of subscribers on organization’s email distribution list:
Name of Respondent (for fact-checking and notification database purposes only; will not be published):
Your Position at Organization:
Your Phone Number:  (123) 456-7890
Your Email Address:


Edit ModuleShow Tags
Edit ModuleShow Tags Edit ModuleShow Tags
Edit ModuleShow TagsEdit ModuleShow Tags
Edit ModuleShow Tags