Prospect Information

Prospect Name: *

Prefix (Dr, Mrs, Mr, etc):

Main Contact First Name: *

Main Contact Last Name: *

Main Contact Title/Role: *

Main Contact Email Address: *

Main Contact Phone Number: *

Prefix (Dr, Mrs, Mr, etc):

Secondary Contact First Name:

Secondary Contact Last Name:

Secondary Contact Title/Role:

Secondary Contact Email Address:

Secondary Contact Phone Number:

Mailing Address: *

City: *

State: *

ZIP: *

Proposal Information

Proposal Staffing (i.e. who is going to facilitate the proposal development process?): *

Is there an RFP for this proposal? *

If yes, upload the RFP below:

Proposal Due Date: * +

If no, please enter notes on proposed project below:

Proposal Title: *

Proposal Type (please check all that apply): *

Campaign Prep	Campaign Management/Execution
Major Gift Program	Planned Giving Program
BMC	Strategic Assessment
Development Assessment	Strategic Planning
Other Other