Form Center

2. First Name*
3. Last Name*
5. Organization*
7. Email Address*
8. Phone Number*
10. Address
12. City
13. State
14. Zip Code
16. Sponsor Requirements

    To participate as a sponsor for this event the following items are required. 

    1. The Town will provide the "patch" space and container. The Town will provide each sponsor with a blank patch sign for decoration. The sponsor must decorate the sign in a family friendly style. We highly encourage branding your business. Signs will be available for pickup at Town Hall starting March 11th and are due back to Town Hall by March 25th. 

    2. Provide 500 filled eggs. These can be filled with candy or toys. This is estimated to cost between $100 and $150. You can find filled eggs at the following sites. Eggs must be delivered to Town hall by March 25th. If you ship them directly to Town Hall, please have the shipper note your name somewhere so that we know what patch to match them up with. 

    SunnyBunnyEasterEggs.com

    HolidayGoo.com

    Amazon.com

    Walmart.com

    
    

    
    

18. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree to to meet all of the requirements noted above for being an event sponsor.

    1. I agree.
20. Electronic Signature*
22. Additional Information

    You will receive a confirmation from the Pinetop-Lakeside Community Services team once the basket are available for pick-up.  If you have any questions, please reach out to Annie DeRosier at aderosier@pinetoplakesideaz.gov or 928-368-8696 ext 255.

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field