SPONSORSHIP REQUEST PLEASE READ BEFORE CONTINUING Thank you for this opportunity to help your group or organization. The Appalachian Timing GroupC receives a substantial number of charitable requests each week and unfortunately we cannot participate through promotion or donation in all of them. To help us make a decision regarding your charitable event, we need you to answer the following questions. Receipt of application is no guarantee of participation and you may be asked to submit this form again or additional information in follow-up. Past participation is no guarantee of future consideration but should be noted. Due to application volume, you will only be contacted if we are in a position to participate. You are more than welcome to follow-up with us by e-mail if you have not heard from us. PLEASE ALLOW 4 WEEKS ADVANCE NOTICE. Thank you! CUSTOMER INFORMATION Are you an Appalachian Timing Group customer? If not, is someone in your group? GENERAL INFORMATION Today’s Date: __________________________ Name: __________________ Event Date: __________________________ Charity receiving benefits: _______________________________________________________ Event name: __________________________________________________________________ Sponsorship/donation deadline (Shirt Logo): _________________________________________ Can you provide APTiming with a tax deductible receipt for donation? Is this the first If not, when was it established? _____________________ CONTACT INFORMATION Contact name: _______________________________________________________________ Phone: _____________________________ E-mail: _________________________________ Address: ___________________________________________________________________ EVENT DETAILS What is the charitable goal of your organization or this event? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ How many people will benefit from this event? _____________________________________ What is the estimated attendance for the event? ____________________________________ What are you looking to receive from The Appalachian Timing Group? (Please note, if you have multiple levels of sponsorship at different donation levels, please include a flyer or proposal with details and price points) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ What type of donations have you already received? ______________________________________________________________________________ ______________________________________________________________________________ What other companies are participating in this event? ______________________________________________________________________________ ______________________________________________________________________________ Other information we might find helpful: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ All submissions must be accompanied by a copy of the event flyer or brochure. Complete and return to: The Appalachian Timing Group Attn: Sponsorship Request PO Box 3158 Huntington, WV 25702 Ricky@APTiming.com Please note we will not accept any E-Mail Submissions