Acquittal form

Contact details:

Organisation Name*:

ABN/ACN*:

Project, initiative or event details:

Name of project, initiative or event*:

Event target group/market*:

Estimated number of attendees*:

Outline any changes that were made to the project, initiative or event as originally described in the sponsorship application and provide reasons for these changes*:

Evidence of Sponsorship acknowledgement:

How was Westernport Water recognised as a sponsor?* (Select all that are applicable)*
Media acknowledgement in local newspapersMedia acknowledgement on radioMedia acknowledgement on televisionPlacement of Westernport Water logo on posters and marketing materialsSignage at event/on site reflecting Westernport Water's supportAcknowledgement via websiteAcknowledgement via social media channelsAcknowledgement at event by MC (if applicable)Post event acknowledgementOther

Please provide details of your acknowledgment of Westernport Water*:

Photo evidence:

We would love to see photos from your event or project for our records and to use for promotional purposes.

It is a requirement that you take photos of Westernport Water's involvement (e.g Hydration Station, our water cafe stall, our banners or signage with our logo at the event).

Please email photos to communications@westernportwater.com.au

*Photographs of people, particularly of children, MUST be accompanied with a signed Photo Release Form. Download the form and email it with your photos.

We have provided Westernport Water with photographs with signed photo release forms from our project, initiative or event. *—Please choose an option—YesNo

Evidence of funding use - Please attach:

I have attached evidence and information that accounts for our use of funding provided by Westernport Water. It demonstrates that the funding has been used for the purpose it was provided for and in accordance with the Funding Agreement. *—Please choose an option—YesNo - I will email the evidence instead

Please upload documents ie tax invoices, receipts etc.*

Impact to the community:*

Outline how you believe the project/event has contributed to strengthening the community, e.g. which of the three key themes did your project or event successfully meet - Healthy People, Healthy Communities, Healthy Planet.*

Share your experience:

Assessment of sponsorship process – what went well?*

Assessment of sponsorship process – what could be improved?*

Tell us about your experience with Westernport Water's Community Support Program or anything else you'd like to say. (Optional)

Main contact - First name*:

Main contact - Surname*:

Position/Title*:

Date completed*

Phone*:

Email*

Postal Address*:

Declaration:

By ticking this box, I declare that the information provided in this form is true and correct and that I am authorised to provide this information on behalf of my organisation.

Please leave this field empty.

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