AFL-Sponsorship Request Form

Name of Organization*

Organization Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Federal Tax ID

Contact Person*

Contact Email*

Contact Phone*

Name of Event or Program*

Type of Request*

Check all that apply

Employee's Name

Event Date

Event Location

Describe the Event, Program, or Organization

(and how the funds will support your efforts)

Purpose of Event or Program*

Recognition

Please describe what opportunity we are provided for recognition, such as signage, staffed information booth or table, etc.

Number of years Event or Program has occurred

Number of people that attend or are expected to attend

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