NCR 2024 Additional Listing

You will be submitting an additional Naples Charity Register listing in Collier/Lee County.

The fee is $199. You will be required to complete the credit card payment to submit the form.

Credit Card Information *

Credit Card Type*

American Express Discover Master Card Visa

Credit Card*

Listing Fee

$

Billing Information *
(must match credit card statement address)

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Billing Contact *

First Name

Last Name

Daytime Phone*

Email Address *

The email you provide will receive the following:
1. An email confirmation of this listing submission from Editorial
2. An email Receipt of Payment from Palm Beach Media Group

Terms and Conditions:

Yes

I understand my submission is not guaranteed to be published in the Naples Charity Register and Palm Beach Media Group reserves the right to deny a submission.

Yes

I have read the instructions on the previous page. https://www.naplesillustrated.com/charity/

Yes

I understand that if my submission is not accepted then a refund will be issued.

Information about the Charity

LEGAL Name of Charity *

Federal Tax ID Number *

Charity's Office Mailing Address (this address will not be published) *

Address Line 1

Address Line 2

City

State

ZIP Code

Primary Contact Name*

Primary Contact Email Address*

Primary Contact Phone Number*

Editorial Guidelines *

COPY FOR USE IN MY CHARITY REGISTER LISTING

Name of Charity*

As you would like to appear in print

Description of Charity *
(Max 400 characters)

Main Fundraising Event
(Max 60 characters)

Date of Event*

Location and City: *

Description of Event *
(Max 300 characters)

Honorary Chairpersons (if none, write N/A): *
(Max 70 characters)

Chairpersons (if none, write N/A): *
(Max 100 characters)

Major Sponsors (if none, write N/A): *
(Max 300 characters)

Ticket Price for this event: *

$

Event Contact *

First Name

Last Name

Event Contact Email*

** EMAIL WILL NOT PRINT IN LISTING - FOR EVENT LISTING QUESTIONS ONLY**

Charity's Telephone *

Charity's Website:

info submitted*

Yes

I acknowledge that my listing may be edited for length and to comply with Palm Beach Media Group’s internal Style Guide and the rules of grammar.

ADDITIONAL LISTINGS

Additional Listing

Yes No

I have additional listings that I will be submitting for use in the 2024-2025 Charity Register. I will submit (or have already submitted) additional listings.

Please note, when submitting multiple listings, the listings will appear in order of event date.

Proof Approval Section

Please provide the main contact person to approve the PDF proof listing.

FOR LISTING APPROVAL

Yes*

I understand the person named below is to be the contact person for Proof approval and agrees to reply with approvals/changes to a PDF proof of our listings within 48 hours of notification. A lack of response to the proof will be considered approval to print as presented.

Yes*

I understand (2) two proofs maximum will be provided as needed for review.

Name of Contact Approving Listing Artwork*

First Name

Last Name

Email of Contact approving Listing Artwork *

Please contact Ileana Caban with questions at ICaban@palmbeachmedia.com