Laserfiche WebLink
City of Santa Ana Powered by Submiliable D <br />Title 0077 01/09/2024 <br />by Mark €limalanta In Arts & Culture - Special id. 45137932 <br />Event Sponsorship Request Form (SESRF) - <br />2023 <br />markdimo88@g mall,com <br />Original Submission 01/09/2024 <br />Score <br />Name of Primary Mark <br />Contact Dimalanta <br />Contact Title Visual Arts Program Coordinator for OCCTAC <br />Name of Entity Orange County Children's Therapeutic Arts Center (However, I am applying <br />(organization, as an individual) <br />business, <br />neighborhood <br />association) <br />Check the box that Individual/Community Group <br />applies to your entity: <br />Additional Applicant_..._.____..._.�...__�.....__.W.._....V...______. <br />Names (if applicable) <br />Physical Address 282 Hayes <br />Irvine <br />CA <br />92620 <br />us <br />Mailing Address <br />282 Hayes <br />Irvine <br />CA <br />92620 <br />us <br />Phone <br />. . ..._._._. <br />+19498785490 <br />Email � <br />.,..... <br />markd@acctac.arg <br />. ..._..... _.._...._, . <br />Website <br />Event Name/Title <br />My existence, through my lens. -A creative expression of <br />Neuro Divergence, through photographs. <br />