Sponsorship Donation, Sponsorship, or Advertising If you have a Donation, Sponsorship, or Advertising Request please fill out the form below. Thanks! Your Contact InformationFirst name*Last name*PhoneEmail* Organization InformationOrganization Name*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Federal Tax ID Number (If applicable):Is the organization a Bert Adams Disposals customer?*YesNoIf yes, what is the organization's Bert Adams Disposals customer number?Event informationIf your donation or sponsorship request is not related to an event, please mark NA for the following fields.Event NameEvent VenueEvent Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date* Expected AttendanceIs Bert Adams Disposal currently scheduled to provide service for the event?YesNoDescription Of Your RequestDescribe your request (i.e. number of containers needed, monetary donation amount). Please be as specific as possible. NOTE: Bert Adams Disposal rarely offers services at no charge; however, advertising and sponsorship involvement may result in service discounts, if contribution budget allows.DescriptionDate support is needed (date response is needed)NOTE: We do our best to respond to each request within 30 days. If your request is needed sooner than 30 days, we may not be able to assist or respond. However, we do encourage you to note this special consideration in the field below so we may attempt to expedite your requests.Date Needed* Have you applied for support from Bert Adams Disposal in the past?YesNoPlease describe the past assistance from Bert AdamsSponsorship Recognition & Advertising OpportunitiesIf Bert Adams Disposal is able to support your request, please detail how your organization will recognize Bert Adams Disposal. Please check all that apply. Company name in promotional materials Logo in promotional/print materials Advertisement in promotional/print materials Company listing on website Advertisement on website Other Bert Adams Disposal appreciates the efforts your organization is making to ensure a positive difference in our communities. Your request is important to us. Please know that all donation requests are considered by a Contributions Team. If Bert Adams Disposal is able to offer assistance, we will contact you directly. Otherwise, we request that you remain patient as we do our best to lend equal consideration to all requests.EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms. Introducing our new automated refuse collection. A new rolling trash cart for your immediate use Click to Watch