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City of Santa Ana <br />559 Special Event Sponsorship <br />Donation Request Form <br />ChyManagers Office–M-31 <br />20 Civic Center Have <br />P.O Boz 1988 <br />Santa Ana. CA 92702 <br />(714) 647-5200 <br />.Contactr r <br />Nam¢: Tttle. <br />Address: <br />Phone: <br />Fm <br />Email: <br />Donation r <br />Pre -Approved by <br />Councilmember <br />City SemI 'ces Credt <br />f61 ount Request ed: <br />—� Ih i <br />S. teba Needed: h1a rfCouncilmember. IPlE+asie Choose From the Cat Belc <br />' – -,I I _. 1 I___ _ ._ _ •J <br />DireM Par yment Amount <br />��— <br />�IEvent <br />Requested. <br />`S IEveM Date: Time: <br />Approved Amount: <br />Event Location- <br />AMMS; City, State, Dp <br />Description of <br />Eventl Purpose: <br />CommunOy Benefit <br />Bysignfng, I have read and agree to behc and bythe terns and conditions included on the reverse side of this Donation Request Form. <br />- - <br />Applicant Signature: <br />Date: <br />Mail: City Managers office–M•31 Email: donationrequeslQgsanta-anaorg <br />20 Civic Center Plaa Fax: (714) 667-6916 <br />P.O- Boz 1988 <br />Santa Ana• CA92702 <br />Revised 01131/1010 <br />City Council Special Event Sponsorship Policy 6 <br />EXHIBIT 2 <br />55B-10 <br />Pre -Approved by <br />Councilmember <br />❑yE5 <br />❑SFO <br />Pre -A oval Date: <br />pW <br />City Manager Signature: <br />Approved Amount: <br />Date: <br />DPv 0: <br />Revised 01131/1010 <br />City Council Special Event Sponsorship Policy 6 <br />EXHIBIT 2 <br />55B-10 <br />