EmailMe Form - Take 5 To Care (KCTV)

Non-profit / Organization *

Official name of event *

Date of event *

MM / DD / YYYY

Is this date confirmed? *

Yes

No

Location of event *

Is this location confirmed? *

Yes

No

Time of event *

Is this time confirmed? *

Yes

No

Past Event Information

Years in existence *

Last attendance *

Main Contact Information

Contact name *

First Last

Title *

Best phone number to reach you *

### - ### - ####

Email *

Organization website *

Describe event *

List ALL sponsors (note Title or Presenting sponsors) *

List ALL opportunities available to KCTV5 and Take 5 sponsor for branding (i.e. signage, booth space, print, radio, etc.) *

Value of branding opportunities for KCTV5 and Take 5 to Care sponsors *

Additional information needed

Will KCTV5 be the "exclusive" media partner? *

Yes

No

Will KCTV5 be the "exclusive" TV partner? *

Yes

No

Will you be seeking an additional media sponsor (i.e. radio, print, cable, etc.)? *

Yes

No

Will you be seeking a KCTV5 personality to emcee? *

Yes

No

List additional media partners *

Do you have an advertising budget? *

Yes

No

Total advertising budget for event *

List all outlets/platforms in which you will be promoting your event *

Any additional information you would like KCTV5 to know about your event or organization?

*Should ANY information that's provided on this document change, please contact KCTV5 immediately, KCTV5 Take 5 to Care sponsorships are based on this information and could be in jeopardy and even cancelled should you provide wrong information or misinformation.
*Pending approval of the application, there will be requests from KCTV5 such as outdoor space, logo inclusion, etc.