Sponsorship Request Form
Please fill out this form to request sponsorship for your event or initiative. We appreciate your interest in partnering with us!
Event or Initiative Details
Name of Sponsor
*
Contact Information
Contact Person's Full Name
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Sponsorship Details
Event Sponsor's Level of Giving
*
$1000 Ally Sponsor (I support Black Mental Health)
$2500 Advocate Sponsor (I support and protect Black Mental Health)
$3500 Activist Sponsor (I support, protect, and invest in Black Mental Health)
$5000 Solidarity Sponsor (I stand in solidarity with Black Mental Health Awareness)
Payment Method
*
Money Order or Check
Pay by Debit/Credit Card via Invoice
Authorizing Person's Signature
*
Please upload the logo you would like to be displayed when marketing The Black Fathers Summit.
*
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