Black Pride RVA

Sponsorship Form 2023

Black Pride RVA 2023

July 14 - 16, 2023

** If you have any questions, please contact Executive Director: Luise "Cheezi" Farmer:

sponsorshipugrcrva@gmail.com or call 804.629.8394

Organization/Business Name *

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Sponsorship Level *

Community Sponsor, please specify amount: ___________

_______ PLEASE SEND INVOICE

_______ ** MAIL CHECK ** MAKE CHECKS PAYABLE TO: US GIVING RICHMOND CONNECTIONS,
503 FOURQUREAN LN. RICHMOND, VA 23222. *

A complimentary vendor table & 2 chairs will be provided at the Day of Purpose. Will you be requesting the complimentary vendor table? *

Yes

No

Please provide a complete description of retail items to be vended/exhibited. Note: Food Vendors are not permitted: *

Upload Logo for promotional and printed materials:

WAIVER OF LIABILITY:

I, the person named above, is an officer or an agent of the business or organization named above. By sigining my name below I accept full responsibility for the involvement of the referenced group, organization or individual at the UGRC / Black Pride RVA event. I agree to hold blameless UGRC / Black Pride RVA it successors and assigns and all persons acting under its authority for any civil and or criminal liability under the Law and Regulations of the State of Virginia and these United States which may result from the operation of the UGRC / Black Pride RVA event or any attendant activity. I have read the guidelines and agree to all conditions without further contact or notice.

Signature: *

clear

Signature Date: * +