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?

Please check any additional display pieces that are needed

Large Banner Brochures
Small Banner Business Cards
Banner Stand    
     Other:    
Are you currently a customer? (you do not need to be a customer for consideration) Yes     No