Fiscal Sponsor Request
To request the assistance of PHDC as the fiscal sponsor of events. 
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Name of Organization *
Name of Individual to Contact *
Email Address of Individual to Contact *
Phone Number of Individual to Contact *
Description of Event *
Date of Event *
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/
DD
/
YYYY
Additional Permits Needed *
Budget (Including PHDC Sponsorship Fee) *
Sponsors (Organizations/Companies/Non-Profits) *
Financial Sources (Grants/Loans/Donations) *
Additional Comments
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