UCCC – Ticket Donation Request Name of requesting Agency/Organization(Required)Contact Name(Required) First Last Phone Number(Required)Email(Required)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Please tell us about the requesting Organization(Required)Is the donation directly benefiting the requesting Agency/Organization? Yes No If "NO" please provide the name of the Organization benefiting from donation(Required)Please identify the connections between the UCCC and the Requesting Agency: (mark all that apply) Community Partner with the City of Greeley Sponsor of City of Greeley events or programs Inter-Governmental Agreement with which division or department Returning Recipient with proof of recognition from the previous year’s event How many people do you expect to be exposed to the recognition for the donation?What type of specific recognition will be provided in return for the donation? (mark all that apply) Pre-event advertising Name/Logo in Program/Flyer Large UCCC Poster Displayed Mention in Speech Name/Logo in Program/Flyer Silent Auction Display Large UCCC Poster Displayed Other / Event Slideshow It is now REQUIRED to provide proof of recognition to the UCCC for our records using the provided form.What type of event are you holding?What is the date of your event? MM slash DD slash YYYY When do you need your donation by? MM slash DD slash YYYY Event End Time Hours : Minutes AM/PM AM PM AM/PM Demographic information for the UCCC marketing team about those attending your event:What is the average age of your target audience at your event?Please estimate the average annual household income of your target audience attending your event?Standard practice is to award 2 tickets to qualifying organizations, two additional tickets if the recipient is either a partner with another agency or a returning agency having provided proof of recognition.What are you requesting?