SPONSORSHIP FORM | lcautism.org

Sponsor Lewis County Autism Coalition

Thank you for supporting the Lewis County Autism Coalition! Sponsorships help us create accessible events, connect families with resources, and build opportunities for autistic and developmentally disabled people in our community.

Use this form to tell us what you would like to sponsor and share the information we need to recognize your support. We will confirm the sponsorship details and any associated benefits with you by email.

Prefer an invoice? Select “Please invoice me” in the payment section below.

First name

Last name

Business/Organization (If Applicable)

Street Address (or) P.O. Box

City, State

Zip Code

Phone

Email

What would you like to support?

Multi choice

Sponsorship package or opportunity name, if known

Commitment Amount

Required only when making a specific commitment

$0

Notes, requests, or details discussed with LCAC

Recognition

Name exactly as it should appear publicly

Recognition preference: Business/organization name, Individual name, Anonymous, or Please contact me

Logo Submission: (Please attach your company logo in high resolution for promotional materials.)

Social Media Tags/Handles: (Please provide your official social media tags/handles for recognition.)

Social media link (if available)

Any other link you wish to share

Website URL: (Please provide the URL you would like linked to your logo or name.)

Permission to Use Branding Materials: I confirm that I am authorized to submit these materials and give the Lewis County Autism Coalition permission to use the name, logo, website link, and social media information I

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

These permissions include:

Event Materials (flyers, brochures, banners, etc.)
Event Website
Social Media Posts
Press Releases
Other promotional materials related to the event

Payment

Pay now, Please invoice me, or Please contact me to arrange payment

Please type the name of the authorized person completing and signing this form.

How did you hear about this sponsorship opportunity?

Date

Sponsorship Amount (Enter an amount)

$0