Your Name

Organization/Affiliation:

Your Email

Phone Number

Deadline

Program/Event Details: (location, date, time, purpose)

How is the program/event aligned with the mission of the MBLA?

Name of organization seeking sponsorship or co-marketing:

Is the organization requesting sponsorship or co-marketing a non-profit?
YesNo

Does the organization have any political affiliation or political agenda?
YesNo

Does the organization have a pre-existing relationship with the MBLA?
YesNo

Has the MBLA sponsored the program/event previously?
YesNo

What is the financial contribution being sought from the MBLA?