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2. Name*
3. Organization*
5. Phone Number*
7. Email Address*
9. Project or Initiative:*
   Tell us what project or initiative you are involved with the City on that is relevant to this request.
11. What are you requesting the City of Coquitlam logo for? *

    1. Grant
    2. Partnership
    3. Sponsorship (in kind or funds)
    4. Other (please specify)
13. If Other, please specify here:
15. Name of your contact at the City:
17. What will you use the City logo for?

    Please select all that apply:

    1. Marketing materials (e.g. letters, brochures, posters)
    2. Online (e.g. website, social media)
    3. Signs
19. What format of the logo do you require?

    Please select all that apply:

    1. For a Word document (e.g. PNG, JPG)
    2. For use by a designer (e.g. EPS, AI)
    3. For website
    4. Black & White
    5. Full colour
    6. Reverse
21. Upload here:
23. If the logo will be used on a website, please indicate the URL:
25. Additional comments:
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field