Public Benefit Investment Grantee Logo Usage Request Form

Please indicate which logo(s) you wish to use by checking the appropriate box(es) below:

	Grantees that received cash grants from Cisco Foundation may use the "Funding by Cisco Foundation" logo for up to one year after the end of the grant period.
	Grantees that received cash grants from Cisco, may use the "Funding by Cisco" logo for up to one year after the end of the grant period.
	Grantees that received product donations from Cisco, may use the “Products Donated by Cisco” logo for up to one year after the end of the grant period.

Does your organization agree to abide by the Public Benefit Investment Logo Usage Guidelines provided by Cisco, Inc.?

Choose one Yes, We Agree No, We Don't Agree

Grantee Agency Name:

For a Product Grant, Please Provide the Date the Grant Was Issued:

For a Cash Grant, Please Provide the Date the Grant Period Ends:

Your Name:

Your Title within Organization:

Your Phone Number:

Your E-mail Address (Valid Address Required for Response):

Comments (optional):