Corporate Sponsorship Application - Arkansas Heart Hospital

As part of our mission to create healthier communities, Arkansas Heart Hospital supports the efforts of a limited number of organizations through our Sponsorship Program. If you are interested in a sponsorship please fill out the form below and we will get back with you.

Name of Organization*
Contact Person*
First Last
Email*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mission of Organization
Is the Organization a 501(c)(3)
- Yes
- No
Event Name
Event Date
MM slash DD slash YYYY
Nature of Event
Location
Years Event Has Taken Place
Event Category
If available, what are the sponsorship levels and associated benefit. (attach list if necessary)
Are there any other sponsors already committed? If so, who and at what level? (Please note any other health related sponsors)
Is there any exclusivity within sponsorship level? If so, please explain.
What are the marketing and communications opportunities for AHH associated with this event, both in advance and at the event?
Is there an opportunity for an AHH representative to have a speaking role at the event. If so, please describe.
Additional information related to your request may be submitted in addition to your application form. Please list additional items for submission here.
Attach Any Necessary Documents Here
Drop files here or

Max. file size: 12 MB.
CAPTCHA