Sponsorship Request Form - Peel Development Commission

To make a sponsorship request, please download and complete this Sponsorship Request form and email to peel@peel.wa.gov.au or alternatively, complete and submit the online web form below.

For any queries, please contact us on 08 9535 4140.

Online Sponsorship Request Form

PLEASE NOTE: Sponsorship of amounts up to $10,000 require the completion of this sponsorship request form. If you have any questions about the completion of this form, please contact the Commission on 08 9535 4140.

"*" indicates required fields

ORGANISATION DETAILS

Organisation responsible for the project/initiative or event*

Organisation Address*

Street Address Address Line 2 City/Town/Suburb State Post Code

Name of contact person*

FirstName Surname

Position of contact person*

Phone*

Email*

Brief background and history of organisation*

Applicants' organisational structure/operations (e.g. paid/voluntary staff, registered office, loaned space or home-based etc.)*

Any previous sponsorship from PDC? If yes, provide details*

Yes

Details of previous PDC sponsorship if applicable

PROJECT/INITIATIVE/EVENT DETAILS

Project/initiative/event name*

Project or Event date

Provide event date if known

Total project/event budget

Total sponsorship funding requested

Brief description of the project/initiative/event*

Please provide specific details of what the PDC sponsorship funds will be used for within the project/initiative or event*

Note: PDC funds cannot be used for the supply of alcohol.

Target audience and engagement or expected attendance numbers (if an event)

Expected outcomes of the project/initiative/event e.g. how will it benefit regional development in Peel?*

Have you had a discussion with anyone at the PDC regarding this sponsorship? If so, who?*

Details of requests for sponsorship from other agencies, organisations or businesses

Include organisation name, sponsorship amount requested and whether sponsorship is approved or pending.

File

Max. file size: 64 MB.

APPLICANT DECLARATION

Name*

FirstName Surname

Date*