2015 ADVANCE AGREEMENT

Transcription

2015 ADVANCE AGREEMENT
2015 ADVANCE
AGREEMENT
Return to: Providence Special Events
3975 SW Mercantile Drive, Suite 205
Lake Oswego, OR 97035 or Fax: 503-216-6630
Check this box if you are planning to design a Festival of Trees tree and have read and signed the Tree Designer Agreement.
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Tree Designer Advance Agreement – $1,750
I have signed a Tree Designer Agreement.
I agree that funds advanced to me in good faith by Providence Portland Medical Foundation, dba Providence
Festival of Trees, will be used to decorate a tree at the Providence Festival of Trees. I agree that none of these
funds may be used in compensation for my time, talents or personal expenses associated with the decoration of a
tree.
On or before completion of tree decoration, I will submit to the Festival an accounting report with original receipts
for each/all items purchased and used for the purpose stated below. If any of the advanced funds have not been
expended, I will reimburse the Festival for that amount on the date of the accounting submittal.
Check this box if you are soliciting donation of additional funds from donors for your Festival of Trees tree or
if you are working on other special projects approved by the Special Events Staff for the Festival of Trees event.
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Additional Tree Advance/Other Festival Purposes Advance Agreement
I agree that funds advanced to me in good faith by Providence Portland Medical Foundation, dba Providence
Festival of Trees, will be used only for the purpose stated below. I agree that none of these funds may be used in
compensation for my time, talents or personal expenses associated with the decoration of a tree.
Festival Purpose:
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On or before completion of tree decoration, I will submit to the Festival an accounting report with original receipts
for each/all items purchased and used for the purpose stated below. If any of the advanced funds have not been
expended, I will reimburse the Festival for that amount on the date of the accounting submittal.
NOTE: A minimum of three (3) weeks may be required for check processing/mailing.
Amount Requested:
$ 1,750.00
1,750.00+Additional Advance(s) amount TBD
Other $ ____________
PAYEE SIGNATURE
Date
Please make check payable to:
Name
Business Name if applicable
Address
Day Phone
City
Evening Phone
Email
State/ZIP
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All contributions gratefully accepted by Providence Portland Medical Foundation, a non-profit 501(c)(3) organization, Federal Tax ID #93-1231494.
For further information, please call Providence Special Events Office
at 503-216-6634 or visit www.providence.org/festivaloftrees.
Reviewed 1/15 hg