Layout Block - Block Reference - Demande Sponsoring

Name of the applicant organisation *

Website

Name of contact person *

Contact e-mail *

Sector of activity of the organisation *

Please specify the sector of activity of the organisation *

Name of the initiative *

Brief description of the initiative *

Planned date(s) *

Day

Month

Year

Main target of the initiative *

Estimated number of participants *

Desired financial requirement (in euro) *

Request for gadgets/goodies *

Yes

No

Are any other partners involved in the project ? *

Yes

No

Is there any other information you would like to share with us?