ANAC Sponsorship Application
Applicant should refer to ANAC's Sponsorship Policy & Procedures, as well as any event-specific Sponsorship Package
Learn more at:
www.anac-givecloud.ca/sponsorships
Application Date
*
-
Month
-
Day
Year
Date
Sponsor Details
Name of Organization
*
Contact Person in the Organization
*
First Name
Last Name
Position
Title
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website URL
Sponsorship Details
Sponsorship Type (select all that apply)
*
Annual Sponsorship
Event Sponsorship
In-Kind Donation (i.e., raffle prize, fundraising incentive)
Speaking Engagement: Webinar
Speaking Engagement: Symposium
Event Name (if applicable)
Name
Event Date (if applicable)
-
Month
-
Day
Year
Date
Sponsorship Level
Only for Annual Sponsorship and Event Sponsorships
Select Annual Sponsorship Level
Platinum Plus Level $5,000+
Platinum Level $2,500-$4,999
Gold Level $1000-$2499
Silver Level $500-$999
Bronze Level $250-$499
Select Event Sponsorship Level
Presenting $5,000+
Supporting $2,500-$4,999
Contributing $1000-$2499
Community $500-$999
Friend $250-$499
Sponsorship Pledge Amount
Event Sponsorship
Optional Payment Terms
I have received an estimated cost and quotation for the following service or expenses, I commit to cover the cost of the following service or expenses in full, and I agree to pay the service provider directly upon receipt of the final invoice:
Venue
Continental breakfast
Catered lunch
Communication Access Realtime Translation (CART) service
Special guest travel and accommodation expenses
Swag
Other
In-Kind Donation
Description of Gift
Value of Gift
Speaking Engagement
Topic
Description
Speaker Name & Credentials
Speaker Bio
Mission Alignment
What is your motivation for applying for an ANAC Sponsorship? Please describe your organization's connection with ANAC.
What do you hope to achieve through your sponsorship?
Sponsorship Agreement
ANAC Sponsorship Program
*
I, the "Sponsor", have read and agree to comply with ANAC's Sponsorship Policies & Procedures
Read Sponsorship Policy & Procedures
Submit
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