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Title 0022 <br />by Debora Wondercheck in Arts & Culture - <br />Special Event Sponsorship Request Form <br />(SESRF) - 2023 <br />debor-a@artsandleaming.com <br />Original Submission <br />Name of Primary <br />Contact <br />Contact Title <br />Name of Entity <br />(organization, <br />business, <br />neighborhood <br />association) <br />Debora <br />Wondercheck <br />RM <br />Arts & Learning Conservatory <br />Check the box that Nonprofit 501 (c)(3) <br />applies to your entity: <br />Additional Applicant Tiesha Hutchins <br />Names (if applicable) Durrah Wagner <br />Edwin Lovo <br />Physical Address 151 Kalmus Drive, Suite G-3 <br />Costa Mesa <br />CA <br />92626 <br />us <br />Mailing Address 151 Kalmus Drive <br />Costa Mesa <br />CA <br />92626 <br />us <br />Phone +17147287100 <br />- - I. 1-- -111-- ... . . ........... ............ . .......... .. ....... <br />Email debora@artsandlearning.org <br />Website www.artsandlearning.org <br />Event Name/Title Latin Percussion <br />Event Date(s) May 11, 2024 <br />Powered by Submittable D <br />09/2212023 <br />id.44158257 <br />09/2212023 <br />