Sponsorships & Donations Request Form
Contact information
Organization or Donor Name:
*
Primary Contact Person
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Confirmation Email
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of contribution
Please select one:
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Sponsorship
Donation
Describe your sponsorship or donation:
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Example: monetary support, goods, services, equipment, program support
Estimated value (if known):
*
Is this contribution restricted to a specific use?
*
Yes
No
If yes, please describe:
*
If you wish to designate a specific event, program, or area of focus, please indicate it below:
Additional Details: please include any notes, expectations, timelines or relevant information.
Completing this form does not guarantee a sponsorship or donation agreement with the City of Port St. Lucie.
*
I understand
Submit
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