Sponsorship or Donation Application

Please fill out this application to be considered for sponsorship. Requests aligned with our philanthropic mission will be considered. Please note we are unable to support Political entities. If you have any questions, please contact Shannan Shaulis: sshaulis@cascable.com

Organization Name *

Contact Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Website

Email

Eligibility

Federal Tax ID

Which service category best describes your organization? *

Is your organization a non-profit or public tax-exempt organization as defined under Section 501(c)(3) of the Internal Revenue Code? *

Yes

No

Geographic Service Area *

What type of support do you seek?

Check All That Apply *

Cash Donation

In-Kind Media Sponsorship

Donation of Services

Other

If other, please explain

How will our contribution be used? *

What can we expect in return for our support? *

What other information should we know when reviewing your application?

Please provide a brief summary of your organization's mission *

Number of years in service *

Electronic Signature *