Request for Sponsorship and/or Contributions Form
*
denotes required field
Requester
Date of request:
*
Organization name:
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Does organization have 501(C)3 status?
Yes
No
Federal Tax ID number:
*
Contact person:
*
Mailing address:
*
Daytime phone number:
Email address:
Event/Project Information
*
Type of request:
(check all that apply)
Event or program sponsorship
Cash donation
Program advertisement
Tent usage
Logo'd merchandise
In-kind donation (auction item, doorprize, etc.)
Other:
*
Name of event/project to be sponsored:
*
Event/Project date:
select
*
Event/Project time:
*
Event/Project location:
Purpose of Event/Project
*
Please describe the purpose of your organization/event/project:
*
How will the community benefit from this event/project?
Sponsorship Details
*
Amount of contribution requested:
Enter a numeric value only.
*
Do you anticipate this being an annual request?
Yes
No
Will sponsorship signage be displayed?
Yes
No
If yes:
Where?
Who will provide signage?
Will SRHS be included in all printed material
including print advertising?
Yes
No
*
What is the deadline for the sponsorship?
select
*
What is the deadline for submission of logos/artwork?
select
*
What is the deadline submission of donated items?
select
If requesting tents, please provide address and
driving directions for tent set-up location:
How much has SRHS contributed to your
organization/event/project in the past?
Enter a numeric value only.
Other pertinent information we should know when giving
consideration to your request: