CMH Sponsorship Request

Sponsorship Request

Organization *

Event Name *

Website *

Mailing address *

Primary contact full name *

Primary contact email *

Primary contact phone *

Event Date *

mm/dd/yyyy

How does organization align with the CMH mission? *

2025 Amount Requested *

If sponsored previously please give details *

Which sponsorship category? *

Details & how CMH will benefit *

Event location *

Due Date *

mm/dd/yyyy

Due date of funds (w-9 required)

mm/dd/yyyy

Other current healthcare-related sponsors *

Attachments

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