Applicant The undersigned * E-mail address * Telephone/mobile in my capacity as as a representative of business name business e-mail address business telephone business website Organization promoting the initiative name of entity, association, foundation business name and address Telephone E-mail address website Type of request hereby request the granting of: Non-financial support by Fondazione Bruno Kessler - The granting of non-financial support will authorize the organization to use the wording: “under the patronage of Fondazione Bruno Kessler” Use of the Fondazione Bruno Kessler's trademark - The granting of non-financial support with use of trademark will authorize the organization to add the FBK trademark The authorization to quote our non-financial support and to use our trademark is granted for communication activities relating to the initiative under patronage only. Description of the initiative: Title Type of event conference/event initiative publication promotional material other Field of event national international Date Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20172018201920202021 Place Brief description of the event Involvement of Fondazione Bruno Kessler FBK staff members FBK division None If involved, specify name of people and divisions involved, the relating division of affilitiaion and type of involvement Other public/private entities involved (partners and supporting entities) Communication tools I hereby request authorization to use the wording and/or the FBK trademark in the following communication tools posters brochures website multimedia products other If other, please specify Attachment Program of the initiative Files must be less than 2 MB.Allowed file types: gif jpg jpeg png txt pdf doc docx ppt pptx. Draft of the graphical communication material Files must be less than 2 MB.Allowed file types: gif jpg jpeg png bmp eps tif pdf doc docx ppt pptx. Other Files must be less than 2 MB.Allowed file types: gif jpg jpeg png txt pdf docx ppt pptx. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.