Sponsorship Request Form
* All sponsorship request have to be placed at least 2 weeks prior to deadline*
Organization Name
*
Name of Employee Sponsoring Request (WGH Employees Only)
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.
Contact Person
*
Email
example@example.com
Type of Donation
*
Monetary, Doorprize, etc.
Have we sponsored in the past?
*
Please Select
Yes
No
If so, how much/what?
If donation is over $600.00 a W-9 is required*
Address to send payments to
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional comments...
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