Donation/Sponsorship subscription-donationSelect the Application TypeSelect Here...DonationSponsorshipTitleFirst NameLast NameAddressCityStateZip CodeEmailPhone/MobileAre you a First Responder Organization? * Yes NoPlease select from the drop-down menu that best describes your organization- Select -Auxiliary PoliceCivil Air PatrolEMS DepartmentExplorersFire DepartmentHarbor PoliceJROTCPark RangerPolice DepartPolice ExplorersPublic SafetyReserve DeputyReserve PoliceROTCSea CadetsSheriffs DepartmentUS MilitaryYoung MarinesOtherOrganization name:Are you a 503(c)3 Yes NoIf yes, please provide HonestCoinsLI with you TIN number Organization AddressCityStateZip CodeE-Mail Address:WebsitePhone/MobileDate of event:Will HonestCoinsLI be mailing these items to you? Yes No OtherIf other, please describe how you would like to receive your Donation:CityStateZip CodeLocation of eventCityStateZip CodeE-Mail Address:WebsitePhone/MobileWhat are you requesting as part of your Donation/Sponsorship - Select -Challenge CoinsCitations barsFinisher MedalsPatchesIf you have an idea for a design in mind, please attached it belowUploade File How many Challenge Coin, Citations bars, Patches, Finisher Medals, or pins are you requesting- Select -1-2526-5051-100101-150151-200OtherPlease provide a brief description what you will do with the Donation/Sponsorship:Will the Donation/Sponsorship be sold at your event for a profit? Yes NoIf so, what is the approximate amount it will be sold for?Can HonestCoinsLI set up a booth at your event for free? Yes NoCan HonestCoinsLI have an ad on your Website/Journal for free Yes NoMask InputI/we agree to the above terms and conditions? Yes NoDateFirst NameLast NameThank you for considering HonestCoinsLI to Donation/Sponsorship your upcoming event. We look forward to working with your organization. Thank you for considering HonestCoinsLI to Donation/Sponsorship your upcoming event. We look forward to working with your organization. Submit Form