New London Hospital Charitable Giving and Sponsorship Request

 

ABOUT YOUR ORGANIZATION

 
 
 
 
 
 

ABOUT THE OPPORTUNITY

 
 
 
 
mm/dd/yyyy
 
 

(Check all that apply)

 

(Please describe your typical attendee/participant)

 
 

(Check all that apply)

 
 
 

CONTACT INFORMATION

 
 
 
 
 
 
 

APPLICANT DECLARATION

  • I declare that all the information in the application is to the best of my knowledge, true, and correct.
  • I also understand that if the information is incomplete, the application may be delayed or rejected or more information may be requested.
  • I acknowledge that if the information provided is misleading, any approval granted may be void.
 
 
 
mm/dd/yyyy
 

Please upload any additional marketing material that will help NLH during the evaluation process.

 
Drop your files here