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DONATION/SPONSORSHIP REQUEST FORM
FIRST NAME: LAST NAME:
JOB TITLE: COMPANY:
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX:
E-MAIL ADDRESS: ORGANIZATION WEBSITE:
ARE YOU REQUESTING A : _____DONATION _____SPONSORSHIP
DONATION: REQUEST PROMOTIONAL ITEMS OR PRIZES
SPONSORSHIP: REQUEST KDFWR PERSONNEL TO ASSIST IN THE EXECUTION OF YOUR PLANNED EVENT WHICH ALSO PROVIDES
OPPORTUNITY TO BENEFIT KDFWR.
The “sponsorship” opportunity presented here is not to be confused with corporate sponsorships provided to KDFWR,
which are defined in the State Finance and Administration Cabinet’s administrative regulations (200 KAR 5:080) as “a
contract for the receipt of cash or noncash value by an agency from a business in exchange for advertising or similar
commercial considerations.” KDFWR currently offers this form of sponsorship opportunities for Kentucky Afield
Television, for which guidelines and procedures are available by accessing http://fw.ky.gov/kyafieldtvpartner.asp.
OFFICIAL NAME OF EVENT:
YEARS IN EXISTENCE:
COMPANY OR ORGANIZATION OVERSEEING EVENT:
IS YOUR COMPANY A 501 (c)(3) ORGANIZATION:
WHAT IS THE BEST CATEGORY TO DESCRIBE YOUR ORGANIZATION?
WHAT IS THE BEST CATEGORY TO DESCRIBE YOUR EVENT?
EVENT DATE (S) :
EVENT LOCATION:
TOTAL ESTIMATED ON-SITE ATTENDANCE: TOTAL PARTICIPATION:
SPECIFIC REQUESTS/COMMENTS:
FOR KDFWR OFFICE USE ONLY:
REFERRED TO: ACTION TAKEN:
NUMBER OF PROMOTIONAL ITEMS GIVEN: DATE SENT OUT:
ESTIMATED COST: $