APPLY TO HOST

* indicates required field

*Organization Name:

*Contact First Name:

*Contact Last Name:

Shipping Address
please no PO Boxes

*Address:

*City:

*State:

*Postal Code:

Country:

*Primary Phone:

Secondary Phone:

*Email:

Type of Group:

If Other

If you are a registered non-profit organization, please list your 501 (c) (3):

Have you hosted a LUNAFEST before? NO YES
If so, what year/s?
*What issues does your organizations support? women's rights domestic violence general cancer breast cancer reproductive health campus organization other
*What date/ dates are you hoping to hold your LUNAFEST?
*Please describe the Mission and Objectives of organization.
*How many people are involved in your organization?
*What do you think your organization can contribute to LUNAFEST?
*What is your organization's interest and goals for putting on a LUNAFEST?
If different from your organization-what organization will benefit from the proceeds that you generated from LUNAFEST?
*Have you produced an event before? Please explain your event experience. NO YES
*How did you hear about LUNAFEST? web LUNA Leaders Team LUNA Chix Teams Trade show LUNA Ambassadors (LUNA mini Program) attended a LUNAFEST media coverage other (please explain)
*Please Explain how you heard about LUNAFEST?
*What elements of planning this event are you most worried about and/ or would like the most help with?
*What are you most excited about your production?
Lunafest Policy PLEASE READ THE TERMS OF THIS AGREEMENT, BECAUSE THEY CONSTITUTE A LEGALLY BINDING AGREEMENT BETWEEN YOU AND CLIF BAR & COMPANY. Clif Bar & Company is the owner of the LUNA brand, LUNAFEST, and related logos and marks. - Your LUNAFEST event must be held between October 1, 2010 and June 30, 2011. Events in key LUNA Field Regions (San Diego, Los Angeles, Seattle, Austin, Boulder, Chicago and Boston) must be held after regional premiere in October/November 2010. -You must donate 15% or $250 (whichever is greater) of the proceeds from your LUNAFEST to the Breast Cancer Fund. No other national breast cancer organizations are eligible to be recipients of your events proceeds. Because a critical component of LUNAFEST is raising funds for your organization, you are strongly encouraged to sell tickets to LUNAFEST. Admission to your event via suggested contribution or donation is not encouraged. - The films are the property of Clif Bar & Company and MUST be returned within one week (5 business days) of your LUNAFEST screening. - You agree to send your show report and a check or money order made payable to the Breast Cancer Fund to LUNA no later than one week (5 business days) after your LUNAFEST screening. - You agree to inform LUNA of any Public Relations or Media outreach for your event. LUNA has final approval on all media relating to your event. - Your group or organization is responsible for all financial aspects of the LUNAFEST you host. Neither Clif Bar & Company nor the LUNA brand provides any financial assistance or assumes any financial, legal, or other liability with respect to LUNAFEST. - To be eligible to sponsor a LUNAFEST event, you must provide proof of your group or organization’s status as a registered charity, 501(c)(3)non-profit organization, or a campus group officially sanctioned by your school. - You may hold no more than two LUNAFEST screenings and they must be open to the public. No other private or public screening of the films is permitted. - You are responsible for periodically checking the LUNAFEST venue calendar for other LUNAFEST events that may be scheduled in your area and notifying LUNAFEST if there is a conflict. LUNA does not screen locations or dates for date conflicts. - You must comply with the requirements for all printed materials, logos and media package as included in your event manual and online at Behind The Camera (http://www.lunafest.org/btc). Website content on Lunafest.org may not be copied or replicated without permission from Clif Bar & Company. All host website content that advertises, promotes and/or regarding LUNAFEST must be approved by LUNA prior to going live online. - We have the right in our sole discretion to decide on any additional sponsors or promotional partners. You may have local sponsors for your local events. Local sponsors may not be competitors of Clif Bar & Company in the energy and nutrition foods (including bars, gels, and chews), sport drink and snack food categories. - LUNAFEST films must be shown in the order that we require. - You may add one additional local film to the festival which can be shown AFTER the official LUNAFEST films. LUNAFEST must first screen and approve this film. - Nothing in this agreement should be interpreted to suggest an ongoing relationship between Clif Bar & Company, LUNAFEST, and you. Nor should anything in this agreement be interpreted to confer upon you the right to any intellectual property belonging to LUNA, LUNAFEST, Clif Bar for any reason. - Clif Bar & Company reserves the right in its sole discretion and without incurring any liability whatsoever, to cancel LUNAFEST at any time or to revoke your permission to be a LUNAFEST host.
*I agree to the above policy	YES
Please record your username and password. If your application is accepted, it will be used to log in to the Organizers Behind the Scenes Website for resources and pieces that you will need for putting on an amazing LUNAFEST event. Your username and password each must be at least 6 characters long and less than 20 characters long.
*Username
*Password
*Enter Password Again

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