Organization's Information

Name of Organization

Mailing Address:

City

State

Zip Code

Organization Phone Number

Organization Website

Contact Information

First Name

Last Name

Phone Number

E-Mail Address

Executive Director/CEO/Superintendent Information

First Name

Last Name

Phone Number

E-Mail Address

Are you a non-profit organization?

YesNo

Event/Project Information

Event/Project Name

What is the name of the event/project you are requesting sponsorship for?

Project Start Date

Project End Date

Event Time (Hour)

Event Time (Minutes)

Event Time (AM/PM)

AMPM

# of attendees expected

Event/Project Location

Contact person day of event:

Cell phone number:

Email address:

Event Support Request(s)

If applicable, what other support are you requesting for this event? Please indicate items and date.

Temporary electric connections

Date Requested

Electric Hookup(Hour)

Electric Hookup(Minute)

Electric Time(AM/PM)

AMPM

Water Trailer

Water Trailer not available for events between October through February. To ensure unparalleled water quality, Water Trailer deliveries will ONLY occur one time per day for each event days. The trailer will be picked up at the end of each day for re-fills.

Date Requested

Water Drop off(Hour)

Water Drop off(Minute)

Water Time(AM/PM)

AMPM

Water Pick-up(Hour)

Water Pick-up(Minute)

Water Time(AM/PM)

AMPM

Charging Trailer

Date Requested

Charge Drop off(Hour)

Charge Drop off(Minute)

Charge Time(AM/PM)

AMPM

Charge Pick-up(Hour)

Charge Pick-up(Minute)

Charge Time(AM/PM)

AMPM

Briefly describe the project and/or event.

Required Documents

List of all levels of corporate sponsorship for each event requested. Please indicate sponsor recognition and benefits at each level.

List of current Board of Directors and their affiliation

Authorization

I am authorized to make this request on behalf of the Organization listed above.

Yes

Authorized name

Title

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Contact Information