Seeking Sponsorship Form - Venture Capital MarketPlace

	Seeking Sponsorship Form
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The following information WILL be posted on the web site of Venture Capital Marketplace:

1. Events / Organization Location:
2. Address of the Events/Organization:
3. Organizer/Organization Name:
4. Type of Events/Organization:
   (e.g., Art Festival, Olympics, Education Institutes, Ballet Companies )

5. Total sponsorship amount being sought: US$

6. Minimum from any one sponsor : US$

7. Non-moneytory sponsorship sought:
( e.g. discount or free equipment or services)

8. Contact Name:

9. Telephone Number: (country Code)-(area code)-(local phone number)

10. Fax Number: (country Code)-(area code)-(local fax number)

11. E-mail: (Enter complete address)

(Note: Email must be supplied correctly to receive a response to your submission)

12. Brief describe this sponsorship opportunity:
e.g. Why should organizations sponsor this opportunity? What is it for the sponsors?
( less than 200 words )

The following information will NOT be published on the web site of Venture Capital Marketplace.

13. Contact Details:

Listing Submitted by:

Title:

Name of Firm:

Postal Address:

City:

State or Province:

Country:

Zip or Postal Code:

Web Site URL:

14. Permission to Publish Contact Details :

I authorize VCMP to post the following contact details of my company on the Listing page   (Please uncheck those you do not wish to be published).

Contact Name    Company Address    Fax Number     Phone Number    Email     URL

15. I guarantee the information provided is true and correct to the best of my knowledge and judgment and understand that I will responsible for any false and/or incorrect information submitted.
Yes                              No

16. Service and payment selection:

US$ 50 Seeking Sponsor Listing for 3 months

Free listing for charitable or socially benefitial activities (must be without any intention for commercial gains)
Payment Options

Send credit card details online Send cheque

   N/A

5. Total sponsorship amount being sought:	US$
6. Minimum from any one sponsor :	US$
7. Non-moneytory sponsorship sought: ( e.g. discount or free equipment or services)

8. Contact Name:
9. Telephone Number:	(country Code)-(area code)-(local phone number)
10. Fax Number:	(country Code)-(area code)-(local fax number)
11. E-mail:	(Enter complete address)
	(Note: Email must be supplied correctly to receive a response to your submission)

Listing Submitted by:
Title:
Name of Firm:
Postal Address:
City:
State or Province:
Country:
Zip or Postal Code:
Web Site URL:

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