Event Sponsorship Request (External)

Dandy Event Speaker & Sponsorship Request Form
Thank you for considering including Dandy in your next event!

Please take a moment to complete this form so that we may better understand the event details.
About the Event
Event Name*
i.e. Spokane Dental Society January Meeting
Event Date & Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Event Time Zone*
Event Format*
Location of Event*

Location Name and Address

Street Address Line 2

CityState

Zip Code
Geographic Focus of Audience*
i.e. DC Metro area, Cook County, etc.
How many guests do you expect to attend the event? *
What percentage of the audience do you expect to be US-based, practicing general dentists?*
Event Landing Page URL
Optional, if you have one
Sponsor Prospectus or other supplemental event materials

Optional, please include if exists
Cancelof

Is there a hard deadline to make a final decision on our participation? If so, input it here.

MonthDayYear
Date
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Company/Organization*
Event Organizer/Host (if different than your company)
Your Role/Job Title
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
Have you been in touch with a Dandy sales rep/employee about this event already? If so, please input his/her name here.
Comments/Additional Information
Should be Empty:

Dandy Event Speaker & Sponsorship Request Form