Organization Name:
*
If sponsorship request is approved, who is the check to be made payable to (if different from the Organization Name above):
Mailing Address:
*
Address Line 2:
City:
*
State:
*
Please Select
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
*
Phone Number:
*
Type of Organization:
*
Public
Not for Profit
Other
Name of Contact for Organization:
*
Contact's Title:
*
Email:
*
Phone (if different from above):
Title of Program/Event:
*
How does your event/program align with our sponsorship guidelines (above)?
*
Event Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event Time:
*
Hour Minutes
AM
PM
AM/PM Option
Type of Program/Event (check all that apply):
*
Conference
Public event
Invitation only/ticket required event
Educational
Other
Program/Event Location:
*
Sponsorship Requested (amount or in-kind description):
*
Deadline for Registration:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Contact for Registering Attendees (if different from above):
Deadline for sponsorship materials (ads, logo, etc.):
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Will EMWD’s logo be required? If so, what format is preferred?:
*
Type of Program/Event (check all that apply):
Public and/or Elected Officials
General Public
Industry Professionals
Educators and/or Students
Other
Upload Event/Sponsorship Information (flier, brochure with various sponsorship levels, etc.):
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Event/Sponsorship Information (flier, brochure with various sponsorship levels, etc.):
Browse Files
Drag and drop files here
Choose a file
Cancel
of
The person electronically signing this application on the organization's behalf certifies that they have reviewed EMWD’s Sponsorship Guidelines and that the information presented in this application is correct and complete.
*
Yes
Please verify that you are human
*
Submit
Should be Empty: