Apply for a Sponsorship

My Community

Use the form below to submit your sponsorship requests. Please allow two to three weeks after you submit your request for processing.

Please note that this request form is for corporate sponsorship for events and activities such as: youth and school sports, school clubs, fundraising events for charitable organizations, etc. Visit our Operation Round Up page for more information about how you can apply for a grant of up to $10,000.

If you have questions, please contact:
Email: [email protected]
Fax: (228) 363-7164

Sponsorship and Donation Request Form

Please fill out this online form and attach necessary documents. When you are finished, click the "Submit" button. Completed forms can also be emailed to [email protected] or mailed to:

Coast Electric
Attn: Ana Brett
PO Box 2430
Bay St. Louis, MS 39521

Contribution requests must be submitted in writing on official letterhead of requesting organization, accompanied by Coast Electric Sponsorship and Donation Request Form. Contribution must benefit members of the area served by Coast Electric. Area is defined as Hancock, Harrison and Pearl River counties. For consideration, Coast Electric Sponsorship and Donation Request forms must be received at least 30 days prior to date needed. Incomplete applications will not be considered. Coast Electric reserves the right to approve requests at its discretion.

This institution is an equal opportunity employer and provider.

"*" indicates required fields

Organization*

Date Response is Needed*

Contact Name*

First Last

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone and/or Email Address*

Type of Request*

Monetary

Goods/Services

Amount Requested or Type of Service Requested

If granted, how will the contribution be used?*

Who benefits directly from the contribution?*

Has Coast Electric sponsored your event/organization in the past?

Yes

Additional Information/Comments

File Upload

Please provide any supporting documents.

Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 50 MB.

Name*

First Last

The above is correct to the best of my knowledge, and if the donation is approved, the goods and/or money will be used solely and expressly for the purpose listed.

Phone

This field is for validation purposes and should be left unchanged.