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2. APPLICANT INFORMATION:
4. Organization Name*
6. Contact Name*
7. Phone Number*
9. Email Address*
11. Mailing Address*
15. EVENT FOR WHICH SPONSORSHIP IS REQUESTED
17. Name of Event*
19. Date of Event*
    Date of Event Start Date

    Date of Event Start Time

    —

    Date of Event End Date

    Date of Event End Time
21. Type of Event*

    1. Special Event

    1. Community Event
23. DESCRIPTION OF EVENT*

    Describe IN DETAIL the event, including anticipated number of attendees and their demographics

27. SPONSORSHIP REQUEST

    Town sponsorships are limited to no more than $2,000 per event annually.  The Town will not become an event sponsor during the same year an event has received a special/community events grant. 

29. Amount of Sponsorship Requested: (limit $2,000)*
31. Direct Benefits to the Town*

    Identify the direct benefits the Town will receive as a result of the sponsorship (i.e. booth at the event, marketing, etc.).  Due to the Virginia Conflicts of Interests Act, the Town may not accept free tickets to an event. 

37. OTHER ATTACHMENTS

    Upload any additional items the organization wishes the Town to consider as a part of the sponsorship application

39. Additional Attachments
40. Additional Attachments
42. Additional Attachments
43. Additional Attachments
47. Electronic Signature Agreement*

    1. I agree

    By checking the "I agree" box above, you agree and acknowledge that 1) the information provided in this application is true and correct to the best of your knowledge. By checking the "I agree" box above, you further agree 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

49. Electronic Signature
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field