Request a Sponsorship

Please provide an introductory statement outlining the nature of the request and sponsorship goals.

* Indicates Required

* Organization Name

* Mission Statement

* Requested Sponsorship Level or Donation Amount

* Details of the Request (where, when, benefiting whom, etc.)

* Has the hospital previously sponsored? Yes No

If yes – What was the sponsorship level? What year?

* Does your organization have a contact at the hospital? Yes No

Please provide their name and title

* Scope of Sponsorship (tickets, signage, program, social media, etc.)

* Deadlines (for copy, ads, etc.)

Contact Information

* First Name

* Last Name

Title

* Address

* City

* State

* Zip Code

* Email

* Phone

Attach Document

About L+M

Sponsorship Requests
- Request a Sponsorship

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