Request for Promotional Support

Request for Promotional Support
Amatheon is proud of it's role in supporting veterinary community activities. We sponsor many events every year by providing a variety of prizes and in-kind contributions to many worthy organizations. It is important for us to obtain the following information in order to determine if we are able to participate in your activity. Please complete this form below a minimum of six (6) weeks prior to your event and any print or advertising deadline.
Name of organization seeking sponsorship
Name of Event
Contact Information
First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Event Information
Event Date

Month Day Year
Date
Event Location

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Event Purpose
Event Beneficiary
Estimate # of participants
Estimate # of spectators
How many of your locations are participating at this event? Which ones?
Other event sponsors
Proposed after event analysis
Promotional and Advertising Support to be Offered to Amatheon

Include only the support that features Amatheon name or logo.
Medium

Radio Television Newspaper Flyers/Programs/Brochures/Magazines Email Blast Banner Website Other
Is this event exclusive to Amatheon?

Yes No
Is Amatheon the only pharmaceutical supplier?

Yes No
Is there pharmaceutical promotion associated with this event?

Yes No
If yes, please fill out the two fields below.
What type of pharmaceuticals?
Describe the promotion
Type of prize or contribution requested
Will an Amatheon representative be invited to make our prize presentation?

Yes No
Is Amatheon's contribution the major prize of the event?

Yes No
Have you spoken with an employee of Amatheon regarding this event?

Yes No
If yes, with whom?
Thank you for your request.

PLEASE NOTE THAT A MINIMUM OF SIX (6) WEEKS IN ADVANCE NOTICE IS REQUIRED. ACCEPTANCE OF THIS COMPLETED FORM BY AMATHEON DOES NOT PLACE ANY LIABILITY ON OUR COMPANY TO SUPPORT THIS REQUEST.
By submitting this form, you are agreeing to submit your request for promotional support and agree to receive all marketing communications.
Should be Empty:

Request for Promotional Support

Contact Information

Event Information

Promotional and Advertising Support to be Offered to Amatheon