Sponsorship Request Form
Name
First Name
Last Name
Organization Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Are you an existing client?
Yes
No
Event & Project Summary
Event / Project Name
Event Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Expected Event Attendance
Event Website
How does this event align with our community focus areas and values? (max 100 words)
How will this sponsorship support our community? (max 100 words)
Sponsorship Request Details
Sponsorship Type
Please Select
Sponsorship
Cash Donation
Other
If selected other, please specify.
Sponsorship Amount
Sponsorship Level
Have you previously received sponsorship from us?
Yes
No
If yes, please state the $ amount.
What sponsorship recognition will we receive?
Please list other confirmed sponsors or partners:
Organization Size
1-10
11-49
51-100
101-249
250+
N/A
Date decision is required by:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Note: Wiegers carefully reviews all sponsorship requests and generally responds within 8 weeks. Requests received less than 8 weeks prior to an event are unlikely to be considered, even if they meet our eligibility criteria.
Please upload any supporting documents, including a sponsorship package if available.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: