Sponsorship Order Form

Sponsorship Order Form
Your tax-deductible gift will help provide critical programs and services to support and empower individuals, children, and families in need. Please refer to our Sponsorship Proposal packet for info about events and sponsorship levels. For questions, payment options, or to learn about additional ways to support Pettengill House, please contact Sierra Partlan, Dir. of Development & Programs, spartlan@pettengillhouse.org, 978-572-0436.
Sponsor/Donor Name
Mailing Address

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Contact Person

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Sustaining Partnership
Community Champion Sustaining Partnership

Community Champion - $25,000
Signature Event
Signature Event Sponsorship

Gold - $10,000Silver - $5,000Bronze - $2,500
Gold Sponsorship - Please select 2 additional recognition options (please refer to Sponsorship Proposal packet to view options)

Option #1Option #2Option #3Option #4
Silver Sponsorship - Please select 1 additional recognition (please refer to Sponsorship Proposal packet to view options)

Option #1Option #2Option #3Option #4
Signature Event Program Book Ad Space - Please email ad design in jpg, png, or pdf format to spartlan@pettengillhouse.org

Full Page - $1,000Half Page - $500Quarter Page/Business Card - $250
Concert for Pettengill
Concert Event Sponsorship

Superstar - $5,000Chart Topper - $2,500Trendsetter - $1,000
Superstar Concert Sponsorship - Please select 2 additional recognition options (please refer to Sponsorship Proposal packet to view options)

Option #1Option #2Option #3Option #4
Chart Topper Concert Sponsorship - Please select 1 additional recognition option (please refer to Sponsorship Proposal packet to view options)

Option #1Option #2
Mission Possible
Mission Possible Sponsorship

Mission Ambassador - $5,000+Mission Ally - $500+
Pettengill House Pop-Up Series
Mission Possible Sponsorship

Pop-Up Series Presenter (ALL Pop-Up Events in Series) - $2,000Pop-Up Event Sponsor - $700/Event
Please choose which Pop-Up Series Event(s) you would like to sponsor:

SpringFallWinter
Non-Monetary Gifts

Please provide a detailed description and monetary value for your item below, and a member of our team will follow up by phone or email as soon as possible.
Please describe the item(s) you would like to donate to support Pettengill House:
Monetary Value of Item $
Payment
Total Amount of Gift:

prevnext( X )
USDPlease enter total of all sponsorship options selected
Payment Method

Online (please complete your online payment below)Check (payable to: The Pettengill House, Inc., 21 Water Street, Suite 4A, Amesbury, MA 01913)By Phone (please call 978-463-8801 to provide payment information by phone)

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

Sponsorship Order Form

Sustaining Partnership

Signature Event

Concert for Pettengill

Mission Possible

Pettengill House Pop-Up Series

Non-Monetary Gifts

Payment