2026 Events Sponsor Commitment Form
Submit your sponsorship commitment for Community Health Net events. Please complete your contact information and select your sponsorship levels below. No payment will be collected through this form.
Business Name
*
Contact Name
*
Email
*
example@example.com
Street Address
*
City
*
State
*
Zip
*
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
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Become a CHN Community Partner
To receive full benefits, this completed form must be received by July 1st.
CHN Community Partner Sponsorship Level
*
Platinum ($5,000)
Gold ($2,500)
Silver ($1,000)
Bronze ($500)
None ($0)
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Patient Appreciation Day
To receive full benefits, this completed form must be received by July 1st.
Patient Appreciation Day Sponsorship Level
*
Platinum ($1,000)
Gold ($500)
Silver ($300)
Bronze ($150)
None ($0)
Vendor Table
You can be a vendor at this event and showcase your business. Vendor tables can be purchased separately for $60.
Would you like to opt-in for a Vendor Table ($60)?
*
Yes
No
In-Kind Donation
You are invited to donate non-perishable food items to share as free snacks for those attending. You may also donate items to be used in our free patient raffle, i.e., household necessities, personal care items, gift cards, themed baskets or other items of your choice. Cash donations are also welcome. There are so many in our community who struggle with food insecurities, household necessities and personal care items. Your generosity benefits those who need it most.
Would you like to make an In-Kind Donation?
*
Yes
No
What items would you like to donate?
*
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Annual Luncheon
To receive full benefits, this completed form must be received by August 1st.
Annual Board Luncheon Sponsorship Level
*
Platinum ($1,000)
Gold ($500)
Silver ($300)
Bronze ($150)
None ($0)
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Create Your Own Sponsorship
To receive full benefits, this completed form must be received by the dates listed for each event.
I would like to create my own sponsorship package.
*
Yes
No
CHN Community Partner (Due July 1st)
*
Enter your donation amount
Patient Appreciation Day (Due July 1st)
*
Enter your donation amount
Annual Luncheon (Due August 1st)
*
Enter your donation amount
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Confirmation Summary
Please ensure all information is correct.
Submit Commitment
Should be Empty: