Charlie's Community Program — Application form Question Title * 1. Your name and contact details Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK Question Title * 2. Are you a registered charity for taxation purposes? Yes No OK Question Title * 3. The date that the donation or sponsorship is required by Date / Time Date OK Question Title * 4. Tell us a little bit about what the donation/sponsorship is for? OK Question Title * 5. When and where will the products be given out? OK Question Title * 6. Estimated number of products required OK Question Title * 7. Briefly describe how you believe Charlie's aligns with your values and why we'd be a good sponsor OK Question Title * 8. Are there promotional opportunities for Charlie's? (Please provide evidence/details of how Charlie’s will be acknowledged. If acknowledgment includes exposure in a program) OK Question Title * 9. Is there an opportunity for Charlie’s Cookies to provide any of its products/services for an event? Cafe Cookies Conferences and events Slices Other (please specify) OK Question Title * 10. Anything else we should know? OK DONE