Lorain Sponsorship and Donation Request

Amount Requested:

Organization/event name:

Key Contact:

Address

Street Address

Address Line 2

City

State

Postal / Zip Code

Email

Phone Number

501(c)3 non-profit:

YesNo

Type of donation/sponsorship requested (check all that apply)

CashIn-kindPromotional itemsGift Certificate

Provide a brief summary of how this program or organization will enhance the health and well-being of our community

Organization or event information

Organization or event information files

Organization/Event URL (if applicable)

Event date (if applicable)

Expected attendance (if applicable)

Donation deadline date

Will Lorain receive any goods or services such as advertising, tickets, meals, etc?

YesNo

Ad specs (if applicable)

Size in inches:

Color, Black/White:

Submit artwork to:

Artwork due date:

Attachments:

Attach copy of the organization’s W-9 form: Upload: Choose file

Attach any other relevant files: Upload: Choose file

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