Organization

Website

Last Name

First Name

Phone

Email

What kind of Sponsorship or Marketing are you looking for? Long Term Short Term

If other, please explain?

Name of Event and/or Sponsorship and Marketing Opportunity?

Event Name

Event Description

Expected Attendance

Event Date(s)

Requested Dollar Amount

What will the Requested Dollar Amount specifically be used for?

Please describe recognition that is expected and/or provided?

Has your organization been sponsored or partnered with ASC before? yes no

If yes, please explain?

Was an item and/or items donated and/or purchased? yes no

If yes, please explain?

Do you have any other Sponsorship and Marketing Partners involved on this project? yes no

If yes, please list?

Signature (Officer, Partner, Member, Owner, Applicant)

Title