Donor Information

Third Party Fundraiser Information and Agreement

* Required Fields

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Website

Facebook Link

Third Party Event Info

Event Name

Event Location

Event Date

Event Time

Event Details
(please be specific)

Please share why you have chosen
VOC as the beneficiary?

Can VOC set up an
information table at your event?

Would you like VOC to provide
someone to give a presentation
about our services at your event?

I have read and agree to
VOC Policies and guidlines
for our fundraiser. (see below)

Event Contact Sign off

Agreement:
The Third Party Event Organizer(s) hereby release VOC from all actions, causes of actions, claim and demands for damages, loss or injury which the Third Party Event Organizer(s) may have or acquire at any time against VOC in connection with the event. The Third Party Event Organizer(s) further agree to indemnify and forever hold VOC harmless from and against any and all actions, causes of actions, claims, damages, losses, expenses, costs (including legal fees), charges and liabilities arising out of or in connection with the management of holding the event.

If you have an event flyer please email it to [email protected]

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Fundraising Information

A copy of our most recently filed financial report is available from the Charities Registry on the New York State Attorney General's website (www.charitiesnys.com) or, upon request, by contacting the New York State Attorney General, Charities Bureau, 28 Liberty Street, New York, NY 10005, or Veterans Outreach Center at vocroc.org. You also may obtain information on charitable organizations from the New York State Office of the Attorney General at www.charitiesnys.com or (212) 416-8401.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.

Veterans Outreach Center, Inc. * 447 South Ave, Rochester, NY 14620 * 585-546-1081 * www.vocroc.org * [email protected]