Kodak Sponsorship Questionnaire

	Please answer every question before submitting. Thank You.
General Event Information

	1)	Organization Name:
		Address:
		City:
		State:
		Zip/Postal Code:
		Country:
		Key Contact:
		Title:
		Telephone:
		Fax:
		E-mail:

	2)	Please provide name of sponsorship property or event:


	3)	In 50 words or less describe the event/property you represent:


	3a)	If you are seeking a donation, in 50 words or less please describe the specific product or service you want as follows: Product Name, Type/Model, Quantity, Timing Needed, & Ship-To Address.

	4)	Is your request for a charitable contribution:
		No
		Yes - Cash Donation
		Yes - Consumer Films, Traditional and One-Time-Use Cameras
		Yes - Professional Films and Products
		Yes - Motion Picture Film
		Yes - Digital Cameras

	4a)	If yes, is your organization a non-profit as defined under Section 501 (c) (3) of the U.S. Internal Revenue Service Code?:
		Yes
		No