Contact Person *

First Name

Last Name

Phone Number

(###)

###

####

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Proposed Event Date

MM

DD

YYYY

Third Party Event Guidelines *

Any promotional materials that include The JEH Foundation's logo or trademarks must be approved before use. Contributions from the event are unrestricted and intended only for purposes relating to the mission and existing services of The JEH Foundation.

I have read the Third Party guidelines and I agree to the terms.