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Sponsorship request

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Please make sure to check out our sponsorship guidelines to ensure that your request meets our requirements.

Please select the Novant Health Market from which you are requesting support

Name of Requesting Organization

Attach W9 document

Contact First Name

Contact Last Name

Contact Phone

Contact Email

Organization Street Address

City

State

Zip

Organization Website

Is this a request for one event or a bundled package?

Attach list of Board of Directors including name of organization (not staff members)

Event/Program Name

Event/Program Date (must be a minimum of 12 weeks from date of submission)

Location of Event

Start Time (HH:MM AM/PM)

End Time (HH:MM AM/PM)

Is this a first year event?

Number of years event has been in operation

Expected Attendance (number of attendees/participants)

Sponsorship amount requested

Percent of funds that directly impact organizations charitable purpose

Attach list of all sponsorship opportunties

Type of Sponsorship Requesting

Deadline for ad/logo

Who is the target audience for this event?

Describe how this event positively impacts the community, NH, and your organization.

List any other sponsors already committed

Validation