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Sponsorship Request

Today's Date

Organization Requesting Sponsorship *

Organization Address *

City *

State *

Zip *

Phone *

E-mail Address *

What is the purpose or mission of your organization? *

Type of donation/funding request:

Monetary $

Promotional Items/Giveaways: Amount requested

What will the donation/funding be used for?

Who should the check be made payable to?

Response needed by date

Questions/Comments:

Thank you for your submission!