Kim: Marketing Coordinator; "I am changing things."

Our Company

Sponsorship Request

General

Family name*

First name*

Title*

Company or organization*

Email *

Complete postal address*

Street *

Suite

Or Postal box

City *

Province *

Postal code *

Work phone number*

Extension :

Mobile phone number

Web site

Project Overview

Event name*

Brief description*

Web site

Dates*

from: DD/MM/YYYY

to: DD/MM/YYYY

Location*

Target groups*

1 to 12 years

13 to 18 years

19 to 24 years

25 to 54 years

55 to 64 years

65 years and over

Is it the first time for this event?*

Yes

No

If yes:

Number of participants estimated:

Partners and sponsors confirmed for the event (names and level of sponsorship):

If no:

Number of participants in past years:

Partners and sponsors involved in last edition (names and level of sponsorship):

Partners and sponsors confirmed for this edition (names and level of sponsorship):

Operation and Visibility

Enclose operational plan

Visibility from which Videotron would benefit*

Operational possibilities for Videotron*

Opportunities for exclusive Videotron content*

Media

Enclose media plan

Value of event media plan*

Description of event media plan*

Value of Videotron's visibility under the media plan*

Description of visibility from which Videotron would benefit under the media plan*

Investment Requested

Amounts: enter the amounts requested for each sponsorship level mentioned below.

Presenter*

Collaborator*

Partner*

Media partner*

Service supplier*

Duration of agreement sought*

Have you previously submitted a sponsorship request to Videotron for this project?*

Yes

No

Have you contacted an employee of Videotron about this project?*

Yes

No

If so, please give employee's name.

Attach a document as appendix (optional, maximum 2 MB):

* This icon indicates which fields are mandatory.

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