Sponsorship and Promotional Item Request Form
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communityAs a community bank, we realize it is not only rewarding but important to help meet the financial requests of our local charities, events and organizations. In order to be considered for a donation, we ask that you please complete and submit this form at least 6 weeks prior to your event to allow adequate processing time. Please include detailed descriptions of the requested items or sponsorship.  Thank You!

* required field
*Name
*Phone Number
*E-mail
Address
City
State
Zip
Organization/Event Name
Non-Profit ID#
(i.e. 501c3)
Date of Event
Location of Event
Sponsorship Request
(Please enter sponsorship Information)
Promotional Item Request
(Please enter the type and quantity of the item requested)
Will you need a Century Bank and Trust ad? Yes     No
If yes, what size ad?
Will tickets be donated? Yes     No     N/A
If yes, how many?

Please check any additional display pieces that are needed

Large Banner Brochures
Small Banner Business Cards
Banner Stand    
     Other:    
Are you currently a customer? Yes     No
   

 

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