Survey - Sunshine Coach Name Recognition Form - Variety The Children's Charity

Please indicate the exact wording of name to be placed on coach.

*	Question - Required - PLEASE INDICATE THE EXACT WORDING OF NAME OT BE PLACED ON COACH: (maximum of 40 characters, spaces included; no addresses or phone numbers please) (Maximum response 255 chars, approx. 5 rows of text)
	Question - Not Required - Please check this box if you would like your donation to be recognized on a coach anywhere in BC (the most flexible option)
	Question - Not Required - 1st Choice Area of BC where name is to be placed on a Coach: (Maximum response 255 chars, approx. 5 rows of text)
	Question - Not Required - 2nd Choice Area of BC where name is to be placed on a Coach: (Maximum response 255 chars, approx. 5 rows of text)