Sponsorship Request Form

Date response is needed Date response is needed * / MM / DD YYYY
Partner Contact Information
Your Name: *
Your Phone #: Your Phone #: * - ### - ### ####
Your Email: *
Organization Information
Name of organization, team, or event: *
Purpose of this organization, team, or event: *
Donation amount requested: *
Must be a number between 1 and 300
Explanation of how funds will be used: *
Address of organization or team: Address of organization or team: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Additional Information
Is your child/family member on the team or involved in the event? *

Is your child/family member on the team or involved in the event? Yes No
Are you involved in the team or event (coaching, donating time/money, etc.)? *

Are you involved in the team or event (coaching, donating time/money, etc.)? Yes No
Will there be any advertisement/promotion featuring Moore's Electrical & Mechanical? *

Will there be any advertisement/promotion featuring Moore's Electrical & Mechanical? Yes No
Please describe and listed what format you wish to receive our logo, as well as where it should be emailed. *
Check Information
Does anything need to be mentioned in the MEMO line of the check? *
Who should the check be made payable to? *
Please specify the name of contact for the ATTN: *
Please specify the address of where you would like to send the check: Please specify the address of where you would like to send the check: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
You will be notified by email about the status of your request. For any questions, email marketing@mooreselectric.com.
Type the letters you see in the image below.

Sponsorship Request Form

Sponsorship Request Form

Partner Contact Information

Organization Information

Additional Information

Check Information