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NHRMC.ORG New Hanover Regional Medical Center

NHRMC Foundation supports the mission of New Hanover Regional Medical Center, the largest provider of healthcare services in southeastern North Carolina.

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Home > Get Involved > Community Led Events > Community Form

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Community Form

Community Partnerships Form

Thank you for expressing interest in organizing a fundraising event for New Hanover Regional Medical Center Foundation. Please submit this application to the best of your ability at least four weeks prior of the intended event date or fundraiser. NHRMC Foundation reserves the right to withdraw support of the third-party event should the organizer deviate from the approved submission.

Contact Information

First Name Last Name Email Address Phone Company/Organization Contact's Relation to Company/Organization

Event Information

Event Name Event Date Event Time Event Location Description of Event Expected Attendance What are the estimated proceeds to benefit NHRMC Foundation? How will donations for proceeds be collected? Are there other charities involved? If so, please describe their involvement. How will NHRMC Foundation receive the proceeds from the event? (Check all that apply.) Check(s) mailed to NHRMC Foundation Submit via Credit Card on NHRMC Website Check presented at NHRMC Foundation Office Expected date for the transfer of funds Fund Designation

Event Support

If available, would you like literature to distribute about NHRMC Foundation and/or services at NHRMC? Yes No

If yes, how many copies

If possible, would you like to have an NHRMC Foundation representative at your event? Yes No

If yes, what role would the representative play? Please provide a time frame of when the representative would be needed.

Event Promotion

Describe your plans to publicize or market your event. Do you wish to use the name and/or NHRMC logo in your promotional materials Yes No

Additional Information

How did you hear about NHRMC Foundation? Please describe what motivated you and your group to organize and conduct this event. How will you fund your event?