Event Sponsorship Application
Please fill in the information in the required* fields below. Completed forms will be reviewed and responded to within 24-48  hours.
Sign in to Google to save your progress. Learn more
Event Name: *
Event Date: *
Event Type: *
Number of Expected Participants *
Type of Support Requested *
Sponsorship Coordinator/Contact Person
Fill in the fields below for the person placing orders/main point of contact
First Name/Last Name: *
Coordinator Email: *
Phone #:
Please enter an address associated with the event or organization requesting the Event Sponsorship Kit. This address is for administrative purposes , but can also be used for shipping event kits. Space is provided at the bottom of the form for an alternate shipping address.

Madawaska Coffee Inc. is pleased to provide complementary shipping of Event Sponsorship Kit to your event, but we ask if possible for event to cover return shipping expenses. Madawaska Coffee Inc. can provide discount shipping rates for return shipping and can organize for pickup upon request.
Pick Up Only
Pick Up Only
All event sponsorship packages must be picked up at one of our 3 locations (Roastery, Barry's Bay or Pembroke) Please organize pick up with at any of these locations. 
Street Address: *
City/Town: *
Province: *
Postal Code: *
Phone #: *
Return Shipping Required
Clear selection
Accounts Payable
OPTIONAL: Please fill in the fields below if ordering product for fundraising and billing information is different than event information provided above.
First Name/Last Name:
Billing Email:
Phone #:
Alternative Shipping Address:
Please enter address invoices are to be sent to
Attention To:
Street Address:
Postal Code:
Phone #:
Fax #:
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.