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Event Sponsorship Request
Requestors Information
Name of Organization*:
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: