Sponsorship Application

Please fill out the following form to apply for sponsorship.

Name of Organization:  
Contact Person:   Title/Role:  
Contact Phone Number:   Contact E-Mail:  
Address:  
City:     Postal Code:  
Fax: Website:
Type of organization:
Geographical Region of Event / Program:  

What is the primary focus of your organization:

What kind of support are you seeking?:

Amount Requested:
Event / Program Description:
Date Funds Needed by:
What are the benefits to community? How many people will benefit?

When will the event be occurring?

Start Date: End Date:
How will Ferus be recognized?: