Wufoo

Organization
Name First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Number ### - ### - ####
Alt. Phone Number ### - ### - ####
Does Your Organization have a 501 (c) (3,4,6,7) status?
Yes No

NOTE: TAX ID IS REQUIRED FOR CASH SPONSORSHIPS
Federal Tax ID

Please use numbers only
Type of Organization
Community Organization School Sports/Booster other (non profit, youth group, etc.)
Type of Request
Contribution Bottled Water
Contribution amount requested

Please use numbers only
Cases of water requested?

Please use numbers only
Name of the event
Location of the event
Breifly describe the event
Event Date MM / DD / YYYY
Estimated attendance

Please use numbers only
Purpose of the sponsorship
Method of publicity
By checking this box, I agree that all the bottled water received will be distributed free of charge
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