First Name:

Last Name:

Job:

Company/Organization:

Street 1:

Street 2:

City:

State:

Zip:

Country:

Phone :

Email :

Name of opportunity or event:

Date of opportunity or event:

Location of opportunity or event:

In 50 words or less describe the event/organization you represent:

If an event:

Estimated number of people in attendance:

Has this event been done before?

Yes No

If yes, how many people attended the event the previous year?

Venue event is taking place:

Will venue allow outside beverages to sample/sell during event?
Yes No

If yes, does the venue have any corkage fees?
Yes No

If yes, please explain:

Sponsorship Specifics

What type of request are you looking for?

Athlete/Team Sponsorship Product Donation/Sponsorship Product Placement Raffle/Silent Auction Other

What is required from BAWLS Guarana?

Is BAWLS Guarana product acceptable in lieu of cash or fees?

Yes No

Will this opportunity offer category exclusivity?

Yes No

Will this opportunity offer an online presence?

Yes No

Will this opportunity offer pre/post event & on-site promotional rights?

Yes No

Will this opportunity offer booth/exhibit space?

Yes No

Will this opportunity offer on-site sales?

Yes No

Will this opportunity offer access to mailing lists/databases?

Yes No

Any other information that will help us in evaluating your request: