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Promo Items Request
Requesting Promo Items
Promo Items Request
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Application Date:
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Scope
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Regional
National
If regional, provide location:
Contact Information
Name of Organization:
*
Contact Name:
*
Address:
*
Postal Code:
*
Phone:
*
Fax:
Email Address:
*
Website:
Where is your organization based?
*
Please indicate the type of organization this is:
*
Not-for-profit
Charitable
For profit
If applicable, please provide the non-profit or registered charity number:
Please provide a short paragraph or two describing your organization, including mission or mandate.
*
Next
Event Details
Event or program date
*
Event or program name
*
Event or program location/venue
*
Event or program time
*
Please describe the event or program – briefly tell us about your plans including goals and objectives.
*
Who will benefit from this initiative? How will they benefit?
*
Is the event or program youth related? Explain.
*
Has APTN provided merchandise for your event previously? If so, please indicate when:
*
Number of items requested:
*
Describe how APTN will be acknowledged for the contribution:
*
Is APTN logo required?
*
Yes
No
If yes, what format is required?
*
Attach additional information related to event (.pdf or word doc):
Signing Authority
Affirm checkbox
I affirm that the information provided in this application, including documents provided, is accurate and complete.
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Phone
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