Sponsorship-Donation Request

Account Name: Account Number(Put "0" if you do not have one):

Contact Person: Contact Phone Number:

Contact Email:Re-Enter Email:

Contact Address:

Contact City: State: Zip Code:

Tax Exempt:What type of Sponsorship/Donation are you requesting:Date of Event:

Expected attendance:Type of event:

Location of Event:

Who or what organization(s) will benefit from this Sponsorship/Donation:

What recognition/exposure will we receive from this event:

Additional comments: