Page 1 of 4

Canon

Sponsorship Application Part I

Organization Information

International National

Type of Sponsorship Product Monetary Both

Product Requests: Product Loan Requests:

(Contribution)

(Max 150 words)

Details of Sponsorship/Benefit to Canon

Total Monetary Cost to Canon $:

Organization Applying for sponsorship:

Type of Organization:

Scope of Organization:

Postal Code:

Telephone:

Email Address:

Primary Contact Name:

Secondary Contact Name:

Mailing Address:

City/Town:

Province:

City/Town: Mississauga

Canon Representative:

Mailing Address: 6390 Dixie Road

Email Address:

Province: Ontario

Postal Code: L5T 1P7

Telephone: (905) 795-1111 Ext: ( )

Application Part I

Page 2 of 4

Event/Tradeshow Yes No

Geographic Region

of Exposure Local Provincial Canada International

Level Of Exposure 1K-10K 10K-50K 50K-100K 100K-500K 500K-1M

Film/TV Yes No

Geographic Region

of Exposure Local Provincial Canada International

Level Of Exposure

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Canon

Sponsorship Application Part II

Market Segment of

Influence General Consumer Hobbyist Professional Other

If other explain

Is this project new

or already

established? New Established

If already

established has

Canon Canada been

invovled? Yes No

Would you be able

to provide past

results? Yes No

Title Sponsorship or

Shared

Sponsorship? Title Shared

Level of Financial

Request (in $) 0-5K 6-10K 11-15K 16-25K 26K +

Number of Products

Requested (in Qty) 0 Qty 1-10 Qty 11-15 Qty 16-25 Qty 26 Qty +

Would you be

willing share any of

the content

generated from the

program with Canon

Canada? Yes No

If yes, what type of

physical content: Video Print Images Other

If other explain

Content

Expenditures

Application Part II

Page 4 of 4

Canon

Sponsorship Application Part II

Would you be

willing to provide a

testimonial to

Canon Canada upon

completion of the

program? Yes No

Is your program

going to foster Good

Will? Yes No

Will the program

Generate Goodwill

within:

Local Markets Yes NoProvincial Markets Yes No

National Markets Yes No

(Mark all that apply) Yes No

Will this program

generate a

database? Yes No

If Yes, please select

the projected

quantity 0-500 500-1000 1000-5000 5000+

What kind of

database will it

generate? Email address Mailing Address Phone numbers

(Mark all that apply)

Please specifiy

demographic Age Range Gender Income Marital Status

(Mark all that apply)

Would you be

willing to share the

database acquired

by the Sponsorship

with Canon Canada? Yes No

Database

6390 Dixie Road, Mississauga ON

L5T 1P7

Email: cigstf@canada.canon.com

Please mail hardcopy to:

Canon Canada

Attn: Product Sponsorship Team

Good Will

Fax: 905-795-2087

Application Part II