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Central Tennessee - Third Party Fundraiser Application


Thank you for considering Susan G. Komen® Central Tennessee to be the beneficiary of your revenue generating efforts and ideas! Please take a moment to complete this form so that we may give your proposal the consideration it deserves. We work hard to create corporate and 3rd party relations that are mutually beneficial, thus the more we know about your plans, the more thorough the consideration by our affiliate. 

Thank you again for thinking of our affiliate! We appreciate your support in working toward our Mission, to save lives by meeting the most critical needs in our communities and investigating in break through research to prevent and cure breast cancer and our Big Bold Goal, to reduce breast cancer deaths by 50% in the United States by 2026.


Step #1: Tell us about you and/or your organization











Step #2: Tell us about your Fundraiser!









Step #3: Tell us about the proposal elements and logistics of your event





Susan G. Komen®  Information

  1. Komen does not endorse products or services of any kind.
  2. Because of IRS regulations, Komen is unable to assist with promotion or advertising of your company, event or product.
  3. Use of the Komen name and/or logo requires a legal contract. 
  4. Relationship proposals are reviewed by Komen Central Tennessee once a week.
  5. Once your proposal has been reviewed, a Komen representative will contact you for more information.


For the protection of the consumer, the Better Business Bureau requires that the anticipated amount or percentage of the proceeds from sales to benefit a charity be posted at the point of purchase (i.e. $1 or 5 % of each purchase or ticket benefits X charity).

Using the Komen name or logo
Komen’s logo is trademarked, and any use without express written permission is illegal. Use this form to request permission.

Our Mission
The Susan G. Komen® Mission is to save lives by meeting the most critical needs in our communities by investing in break through research to prevent and cure breast cancer.

  STEP 4: Review and submit your proposal
20. Signature:









If you respond and have not already registered, you will receive periodic updates and communications from Susan G. Komen Central Tennessee.

   Please leave this field empty