Local Sponsorship Application
Organization Name
*
Contact Name
*
Email
*
example@example.com
Address of Organization
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Event Date
*
-
Month
-
Day
Year
Date
Have you received sponsorship in the past?
*
Yes
No
Please describe the type of support you are requesting.
*
Please upload any documents that will inform Bergey’s Cares about your programs/initiatives that will be impacted by the funding.
Upload a File
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What is the organization's primary mission?
*
What geographical area does your program or event serve?
*
Please describe your event or program.
*
How will Bergey’s be recognized for their donation?
Will an Ad be included with our donation/sponsorship?
*
Yes
No
Please provide any details we would need for your ad (size, format, etc.).
How many people are expected to participate/attend?
*
Submit Application
The ability to fulfill a request is based on the criteria provided on the application, the number of requests received and budgeted funds available. Due to the large number of requests, please refrain from following up on your request. A Bergey’s Cares representative will be in touch within 30 business days. Thank you!
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