State of South Carolina Office of the Secretary of State Public Charities Division P.O. Box 11350 Columbia, SC 29211 Phone (803) 734-1790 Fax (803) 734-1604 NOTICE OF SOLICITATION 1. Name, address and any d/b/a/s of professional fundraiser or commercial co-venturer. __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ (a) Registration Number ________________ 2. Name and address of Charitable Organization __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ (a) Registration Number _______________ 3. (b) Phone Number ___________________________ (b) Phone Number ___________________________ Start date of campaign in South Carolina ______________________________ End date of campaign in South Carolina __________________________ 4. Name, residential address and phone number of each person directing or supervising the contract soliciting services: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 5. List locations, including physical address, and telephone numbers from which the solicitation activity, including telephone solicitations, will be conducted: _________________________________________________________________________________ _________________________________________________________________________________ 6. Indicate method of solicitation to be used: ____ Phone ____ Mail ____ Door to door ____ Print Media (Magazines, Newspaper, etc.) 7. ____ Electronic Media (TV, Radio) ____Other (explain) Minimum percentage of gross receipts guaranteed to charitable organizations by contract or agreement: _________, or other terms of remuneration _____________________________________ CONTRACT MUST BE ATTACHED. THIS NOTICE MUST BE FILED WITH THE SECRETARY OF STATE’S OFFICE NOT LESS THAN TEN DAYS PRIOR TO THE START OF THE SOLICITATION CAMPAIGN. X:\FORMS\EXTERNAL\Notice of Solicitation.doc Rev. 11/09/00 9:36 AM American LegalNet, Inc. www.USCourtForms.com