Event/Sponsorship Request Form
All requests must be submitted
45 days
prior to the event date using this form. Due to the volume of requests, we are unable to respond directly to each individual submission. We will contact you if we are able to fulfill your event/sponsorship.
Contact Name:
Date of event:
Name of organization:
Name of event
Tax ID # (If applicable)
Location
Street Address:
Zip code
City:
Sponsor obligations
(100 words max)
State:
Select a state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Sponsor benefits
(200 words max)
Zip Code:
Projected # of attendees
Phone #
Event/Sponsorship Description
(200 words max)
Fax #
Are you a current customer of
DS Waters?
Yes
No
Email Address:
Account # (if applicable)
Confirm Email:
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