*Organization Name:

*Address:

*City:

*State: AKALARAZ CA COCTDCDE FLGAHIIA IDILINKS KYLAMAMD MEMIMNMO MSMTNCND NENHNJNM NVNYOHOK ORPARISC SDTNTXUT VAVTWAWI WVWY

*Zip:

*Contact Person:

*Contact Email:

*Contact Number: ( ) -

Organization Website: http://

*Description of Interactive Activity(s):

Activity Details (check all that apply): We need help designing an activity.

  We can provide volunteers to help on the day of the event.

  We can provide raffle prizes.

Description of prizes:

*Donation Level: $1000
(Neighborhood Luminary) – Includes all neighborhood benefactor items plus an engraved wall plaque.

  $500
(Neighborhood Benefactor) – Includes all neighborhood sponsor items plus a business ad in the event signage.

  $250
(Neighborhood Sponsor) – Included all neighbor participant items plus special recognition in the event signage.

  $100
(Neighborhood Participant) – Includes activity space, tables and chairs, and electricity (if needed). Free lunch is provided to your activity Space. Your activity space location listed in the event signage. This donation level will be reduced by 40% (up to $60) if you provide your own 10' x 10' canopy.

PLEASE NOTE:
If you or your organization would like to participate but can not afford any of these donation levels, please contact the Fullerton Collaborative executive director at 714-447-2884. We want you as a participant and will help you find a sponsor the help defray your cost.

*Based on the activities you plan to provide, how many activity areas will you need?

*Will you need electricity? Yes     No

I will need the following (fill in number of each requesting): - Rectangular Tables

  - Round Tables

  - Chairs

*I will provide my own canopy: Yes     No

Other needs, questions or requests: