DRLA Sponsorship Application
Information on Organization
Name
*
First Name
Last Name
Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Website
*
Function/Activity Date:
*
Location
*
Which of the following best describes your organization? Please check off
*
For Profit Organization
Registered Not for Profit-Registration
Other (Will explain in an email further to this application)
Purpose of Request:
*
Describe your organizations tie to the Legal Community in Durham Region.
*
Do you donate money raised during the event to a charity? If yes, please explain
*
Funding: Dollar amount requested: $ amount
*
Has the applicant previously received support from the DRLA? If yes, please explain
Directions
*
Date
*
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: