Please fill out the information below, and we will be in contact you shortly.

By filling out the form, you agree to have read and understand the terms for the third party agreement and agree to abide by the terms set out by HIV Edmonton.

Organizing Group Info
Event Details
Please provides any additional information about your event.
Additional Event Details
( barbeque, auction, etc.)
Please enter a dollar amount. ex: 20.00
Please provide the location and/or contact information to purchase tickets if they have any specific questions regarding your initiative (name, phone number, email).
(Banner, display, poster, logo, pamphlets, etc. ) If applicable, how many people will be needed? Please also provide what their duties will be.)
Promotion & Donation Details
If expenses covered by sponsorship and/or donation please enter names and details. (Must be in accordance with the Third Party Agreement as agreed above)
Please Note: All donation payments should be sent to the attention of our Director of Resource Development and Public Engagement