Patriot Healthcare Sponsorship Request Form

Sponsorship Forms

Event Information:

Event Title:

Event Description:

Event Date & Time:

Alternate Date & Time (If Applicable):

Expected Number of Attendees:

Event Requirements (check all that apply and include all details):

Swag (e.g., sponsor-branded items such as swag bags, branded water bottles, T-shirts/hats etc.)

Print and Event Material Sponsorship (e.g., event program/schedule, directional signage, backdrop/banner)

Venue Sponsorship (e.g., wi-fi sponsor, booth space/table, charging station etc.)

Event Area Sponsorship (e.g., photo booth, refreshment area etc.)

Digital/Media Sponsorship (e.g., event app sponsor, website/social media sponsor etc.)

Meal and Refreshment Sponsorship (e.g., snack/water stations, meal breaks etc.)

Content and Education Sponsorship (e.g., workshop/seminar sponsorship, keynote speaker sponsorship, training/demonstration sponsorship)

Experience-Based Sponsorship (e.g., outdoor activity/exercise sponsorship, game/competition sponsorship)

Other (Please Describe)

Marketing and Communication:

Promotion Channels: Where will the event be advertised (e.g., social media, email, website)

Materials Needed: What materials are required for sponsorship (e.g., logo)

Registration Link/Process: Details on event registration or RSVP requirements

Expected Media Coverage: Document any planned media involvement or press presence

Sponsor Recognition:

Recognition Plan: Outline how sponsors will be acknowledged, such as in event materials, social media mentions, website listing, special signage etc.

Sponsorship Levels (if applicable): List any available sponsorship levels, detailing benefits and recognitions tied to each level

Special Requests/Notes:

Additional Needs/Requests: Any other requirements not covered above.

Event Follow-Up: Plan for post-event feedback or debrief.

Primary Point of Contact Information:

Primary Contact Name: Main point of contact for the requested sponsorship.

Organization Name: The name of the company requesting sponsorship.

Organization Location: Full address of the organization requesting sponsorship.

Email Address: Email address for further coordination.

Phone Number: Direct phone contact for further coordination.

Additional Contact (if applicable):

Name:

Email Address:

Phone Number:

Approval and Submission:

Date of Submission: Date the form was completed and submitted.

If you are human, leave this field blank.

Patriot Healthcare Sponsorship Request Form

Patriot Healthcare Sponsorship Request Form

Event Information:

Event Requirements (check all that apply and include all details):

Marketing and Communication:

Sponsor Recognition:

Special Requests/Notes:

Primary Point of Contact Information:

Additional Contact (if applicable):

Approval and Submission:

Head Office

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