Name of Organization:

Phone:

Address:

Organization’s Website/Social Media Page:

Chamber of Commerce registration:

Name of Contact:

Role within the organization:

Phone/Mobile:

Email Address:

Choose donation or sponsorship:

Donation: A charitable contribution. Promotional exposure is not required.Sponsorship: A business partnership. Promotional exposure is required.

Date:

Time:

Place:

Project Description:

Amount requested:

Total budgeted amount:

Upload Budget file:

Bank account number:

Note: Business account only.

Number of participants:

If applicable

Attach additional information: