Request for Virginia is for Lovers® Merchandise

Distribution of Virginia is for Lovers® merchandise is at the sole discretion of the Virginia Tourism Corporation.

Organization

(Religious or political organizations/functions/events are not eligible for donated Virginia is for Lovers® merchandise):

Name:

First Last

Email:

Phone:

Relationship to Commonwealth:

(Applicant must be either a state employee, state entity, or have an important relationship with the state.)

Other Relationship to Commonwealth:

If nonstate organization, please state the purpose of the function, event or organization:

Type of Virginia is for Lovers® merchandise requested:

Quantity (Max 50):

More than 50 items may incur a fee

Other merchandise:

Request Date

Desired Delivery Date

Benefit to VTC and the Commonwealth from distribution of Virginia is for Lovers® merchandise:

Other Benefit:

In 3-5 sentences, please describe the event or function and estimated size of audience in attendance.