MCC Student Activities Fundraising Request Form



Rebecca Newell * (978)656-3763 * email: newellr@middlesex.mass.edu * Bedford Campus: Campus Center, 203 * Lowell Campus: City 407*

This form is required for all fundraising efforts organized by MCC clubs and organizations.








Type of Fundraiser:















Will you require start-up money?






Terms and Conditions - Please read carefully:
1. This form must be completed in its entirety and submitted no later than three weeks prior to fundraising activity.
2. All funds will be deposited into your club account and distinguished as "revenue".
3. Deposits must be made daily, therefore students should continuously drop their profits off to the Student Accounts Office or Student Activities Office.

, I have read the above paragraphs and have scheduled my appointment with the Director of Leadership Development and Student Activities. I understand all policies and procedures and agree to abide by all regulations. (By clicking yes you are agreeing to the Terms and Conditions above. If you do not click yes your form will not be processed.)

















Last Modified: 11/28/12