NON-FUNDRAISING ACTIVITY REQUEST

ALL TEMPLE UNITS ARE PART OF THE WORKING CORPS OF ANSAR TEMPLE; AS SUCH, THEY ARE UNDER
THE DIRECT CONTROL AND AUTHORITY OF THE POTENTATE AND MUST BE COMPOSED WHOLLY OF
SHRINERS IN GOOD STANDING OF ANSAR TEMPLE. NO UNIT IS PERMITTED TO PARTICIPATE IN A PARADE,
PUBLIC EXHIBITION, OR ACTIVITY, NOR IS ANY CLUB PERMITTED TO PARTICIPATE IN ANY ACTIVITY
WITHOUT EXPRESS PRIOR APPROVAL OF THE POTENTATE OF ANSAR TEMPLE. THE POTENTATE MUST
APPROVE SAMPLES OF ANY POSTER, TICKET, OR PUBLIC RELATIONS ANNOUNCEMENT BEFORE USED.

Unit/Club making request:  
Submitted by Phone number
Activity sponsored by:  

Location of activity:  

Date of activity:  

Event chairman: Phone Number:  

Type of activity:

Potentate approval ____________________________________________ Date ________________________

Note: Imperial law prohibits clubs/units or members accepting rewards of monetary compensation for participating in parades of exhibitions.