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?