Sponsorship Request

Event Sponsorship Request

Name of Organization*:
Requestors Information

Contact Name*:

Email*:

Phone Number*:

Address:

Check Payable To (if approved):

Attach W-9 for Payment:


Event Information
Event Name*:

Event Date*:

Event Location:

Anticipated Attendance*:

Deadline for Sponsorship:


Sponsorship Amounts
Please Choose Amount:

All sponsorships are dependent on attendance and available funds and include tabling and safe sex takeaways.

Type of Support Needed*
Tabling:

HIV/STI Testing:

Presentation:

Please Give Additional Details on Needed Support:


All sponsorships are required to attach the RAIN and The Drop logos on all promotional matierals. If you agree to this please click the box below.
I Agree to the Above Statement: