400th Anniversary - Logo Request Form

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The 400 Commission logo is a trademark registered with the U.S. Government. In accordance with
the Commission logo policy, the following information is required from anyone requesting to
use the Commission's Logo. The entire form must be filled out in order for the Commission to review
your request. The review process can take up to 10-14 days.

Email *

Full Name *

Organization Name *

Title of Program *

Program Description *

Event Start Date *

YYYY

Event End Date *

YYYY

Location of Event *

Address *

City *

State *

Zip Code *

Does the program require reservations *

Yes

Point of Contact *

Tele# *

Who's Sponsoring the event? *

Would you like to have the Commission represented at your program/event(s)? *

Yes

Who referred you? (List the Commissioner, if applicable) *

I would like to donate to the 400 Years of African American History Commission *

Yes, please reach out to me for more information.

Additional Comments

Submit

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