Organization Name
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Country
Mission
Please briefly describe your organization's purpose/mission.
What target populations does your organization serve?
Check all that apply.
Other populations served
What demographics does your organization serve?
Check all that apply.
Other demographics served
Primary Contact Name
*
First Name
Last Name
Phone
*
(###)
###
####
What activities would your organization like to contribute to the partnership?
Check all that apply.
Other activities
Are there any costs associated with the contributions you listed above? If so, please elaborate.
What activities would your organization like TEC to contribute to the partnership?
Check all that apply.
Other TEC activities
Partner organization consents to and authorizes the use by TEC, its affiliates, directors, officers, agents, and employees (collectively “TEC”) of partner organizations name, image, voice, or likeness, including photographs, audio-visual recordings, and other works that include name, image, voice, or likeness (collectively, the “Media”) for marketing, cross-promotional activities, and post-event publications. Please indicate agreement by entering the full name of the primary organization point of contact in the field below.
*
I agree to send TEC a high resolution, transparent background logo to be featured as a partner on TEC’s and/or Energy is Everything’s website.
*
Please email to info@energycoalition.org with the subject line "Energy is Everything Partner Logo". Png, svg, or eps file type preferred.
