PCCI Sponsorship Approval Request Form

Organization Address
Including City/State and Zip

Speaker Bio, Subject Matter or Event Description

Event Title


Event Location

Are Copyrighted Materials Being Used?

No Yes

If yes, please include a copyright release form with your printed, signed application and mail to PCCI.

Are Parade/Noise/Other City/County permits required? Not Needed Yes    

If yes, what permits are needed?

Does PCCI need to provide any services as part of sponsorship?  Not Needed Yes

Media Press Coverage Assistance?  Not Needed Yes

Speaker Recruitment?  Not Needed Yes

Funding Needed? Not Needed Yes     If Yes Amount Requested

Signage or Printed Materials Assistance?  Not Needed Signage Printed Materials Both

Other assistance. Please detail below.

Co-Sponsorship Authorization

I affirm that I have either requested sponsorship for the event I am organizing outlined above; or that I have agreed on behalf of the organization/group that I represent to co-sponsor the PCCI event outlined above.

I hereby affirm that I am authorized by my organization to represent them in these sponsorship matters and that my acceptance as noted by entering my name and title below is binding for that organization for which I am an authorized representative.

Name 

 Title