Corporate Partnership Proposal Form
Your Name and Title:
Full Mailing Address:
E-mail: Web site:
What is the nature of your business?
When was your business established? Number of employees?
Please list any past experience(s) with other charities:
Why have you chosen Komen as the beneciary of your promotion?
Are you currently partnered with your local Komen for the Cure Afliate? q Yes q No
If yes, which ones and how? _
Contact Information and Company Background
Please describe your product or service involved in the promotion.
Add additional pages if necessary.
What is the suggested price of the product or service?
Where will the product or service be sold or offered ? q U.S. q Canada q U.S. Territories and/or
q International, if so where
When will your promotion selling period begin and end?
When will the product(s) be available at retail?
What is the number of units you will be producing?
Will you sell through the following outlets? q Company Store q Franchises q Other Retailers q Catalogs q Online and/or
q Other, please explain
How will you promote the promotion?
Will Komen be the sole beneciary of this promotion? q Yes q No
If not, please list the other charities or beneciaries
If you would prefer to sell your product only on ShopKomen.com
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A contract is
required to use
the Susan G.
Komen for the
or any of our other
suited as local
have more than
120 Afliates in the
U.S. and abroad
and would be
happy to refer you
to the appropriate
for the Cure is
the beneciary of
we, including our
Afliates, have no
ability to sell or
for our partners.
Komen for the
Cure may publicly
but because of
status, we cannot
our partners or