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Submissions due by June 17, 2016

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

*Events eligible for inclusion must be between Sept. 1, 2016 and Aug. 30, 2017. You may still submit a nonprofit if you have no events. 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.

Non-profit Organization Name:
501(c)3 Tax ID Number (required):
Short Description of Nonprofit Organization (30 WORDS MAXIMUM):
Executive Director:
Phone Number:  Please format as (123) 456-7890
Address:
City, State:
Zip Code:
Website:  Please format as website.com (no www.)
Link to Charity Navigator page (if applicable; would appear online):  
   
Signature Fundraising Event Title:
Date of Signature Event:  Please format as Month, date, year (ex: Nov. 21-23, 2016)
Location of Signature Event:
Start Time of Signature Event:  (ex: 11 a.m. , noon, 1:30 p.m.)
Ticket price for Signature Event:
Dress code for Signature Event:  (ex: black-tie, semi-formal, business-casual, casual)
Contact Person Name, Phone and Email for Signature Event:  Please format phone number as (123) 456-7890
Website for Signature Event:  Please format as website.com (no www.)
   
Other Event Title:
Other Event Date:  Please format as Month, date, year (ex: Nov. 21-23, 2016)
Other Event Location:
Other Event Start Time:  (ex: 11 a.m. , noon, 1:30 p.m.)
Other Event Ticket price:
Other Event Dress code:  (ex: black-tie, semi-formal, business-casual, casual)
Other 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.)
*  
*(Web inclusion only) Additional Event Title: 
*(Web inclusion only) Additional Event Date:   Please format as Month, date, year (ex: Nov. 21-23, 2016)
*(Web inclusion only) Additional Event Location: 
*(Web inclusion only) Additional Event Start Time:  (ex: 11 a.m. , noon, 1:30 p.m.)
*(Web inclusion only) Additional Event Ticket price: 
*(Web inclusion only) Additional Event Dress code:   (ex: black-tie, semi-formal, business-casual, casual)
*(Web inclusion only) Additional Event Contact Person Name, Phone and Email:   Please format phone number as (123) 456-7890
*(Web inclusion only) Additional Event Website:  Please format as website.com (no www.)
   
*(Web inclusion only) Additional Event Title: 
*(Web inclusion only) Additional Event Date:   Please format as Month, date, year (ex: Nov. 21-23, 2016)
*(Web inclusion only) Additional Event Location: 
*(Web inclusion only) Additional Event Start Time:  (ex: 11 a.m., noon, 6:30 p.m.)
*(Web inclusion only) Additional Event Ticket price: 
*(Web inclusion only) Additional Event Dress code:  (ex: black-tie, semi-formal, business-casual, casual)
*(Web inclusion only) Additional Event Contact Person Name, Phone and Email:   Please format phone number as (123) 456-7890
*(Web inclusion only) Additional 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 2016 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:


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