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SPONSORSHIP APPLICATION
Your details
Name of applicant/organisation reqquesting sponsorship (ABN if abllicable):
*
Contact Name:
*
Phone:
*
FAX:
E-Mail:
*
How do see your sponsorship reaching our target markets?
Do you have any confirmed sponsors who already have comitted? If who so?
Any further information you would like to add?
Details of Sponsorship/Events
What is the level of sponsorship required?
Please select Amount
$0 - $1k
$1k - $5k
$5k - $10k
$10k - $20k
What is Proposed term of the sponsorship agreement?
Please select
Once Off
Annually
On Going
Other
When does the sponsorship/events commence?
Do your require any contribition from LPGAS1 besides the cash component?
YES
No
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