Corporate Sponsorship or Affiliate Request
Is a Local Bank team member completing this form?
*
No
Yes (Morgage)
Yes (Bank)
Form completed by
*
Form completed by email
*
email address for whoever fills out this form
Sponsorship/Affilate Information
Sponsorship/Affiliate Partnership Name and Year
*
Company Name or Affiliate Name
*
What is the organization's affiliation with Local Bank?
*
Customer
School
Community Partner
None
Affiliate
Do not use a Local Bank Email Address. This is for the recipient of the sponsorship check.
Primary Contact Name
*
First Name
Last Name
Primary Contact Email
*
Do not use an Local Bank Email Address. This is for the recipient of the sponsorship check.
Primary Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
If approved, where will the check need to be mailed?
**If check does not need to be mailed, please indicate in additional comments below**
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Sponsorship or Affiliate Info
What is the purpose of this sponsorship or affiliate partnership?
*
What is the included in this sponsorship/affiliate partnership?
*
You may attach a file showing sponsorship tiers and information. Please fill this with "reference attachment."
Requested Amount?
*
Please don't use commas (i.e. 10000 instead of 10,000)
Is this sponsorship tied to an event?
*
Yes
No
Sponsored Event Date
*
-
Month
-
Day
Year
Date
Sponsored Event Location
*
Expected Attendance at Sponsored Event
*
Has Local Bank sponsored this event/effort in the past?
*
Yes
No
Please upload a sponsorship packet or invoice
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Will the Local Bank marketing team need to produce collateral for this sponsorship?
*
Yes
No
Type of collateral
*
Social Media
Flyer / Poster
Print Advertisement
Banner / Signage
Other
Collateral Size & File Type
*
If multiple, please label the type and size separated by a comma.
Due Date
*
-
Month
-
Day
Year
Date
Please upload any partner or school logo that needs to be included.
Browse Files
Drag and drop files here
Choose a file
Transparent .png preferred.
Cancel
of
Does the event need corporate swag?
*
Yes
No
List the swag items and quantity
What date do you need your items?
*
-
Month
-
Day
Year
Date
Additional comments/requests for the events team:
Additional Comments
Please note in order to be considered, requests must be received at least 30 days prior to the event/deadline.
Submit
Should be Empty: