SponsorshipApplication

Please answer every question before submitting.

Thank you.

Organization Name:

Address:

City:

State:

Zip/Postal Code:

Country:

Key Contact:

Title:

Telephone:

allow only digit and space (ex. 111 1111 1111)

Fax:

E-mail:

2) Please provide the name of the sponsorship opportunity or event:

3) In 50 words or less, please describe the event/opportunity you represent:

3a)In 50 words or less, please describe the nature of your cause and the impact it will have on your organization and the community:

4) Is your request for a charitable contribution?

Yes - Cash Donation

Yes - Advertising Space

Yes - Both Cash Donation and Advertising Space

4a) If yes, is your organization a non-profit, as defined under Section 501 (c) (3) of the U.S. Internal Revenue Service Code?

Yes

* If you prefer to mail in your application, please print out this application and mail it to:

Community Coupons Online, Inc.
3140B Tilghman St. #150
Allentown, PA 18104
Telephone: 610.395.0540

For questions or if you do not receive a reply in 30 days, please email us at sponsorship@communitycouponsonline.com.

Coupons.com