Fillable Health Fair Toolkit (Page 17 of 35) in pdf

Health Fair Toolkit Page 17

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SAMPLE DONATION REQUEST FORM

( Print this form on your letterhead, and include it with your donation request letter. Personalize the

information below to reflect what you have requested in the letter [financial contributions only; request for

items for door prizes, food, etc.; or both]).

Thank you for agreeing to be a sponsor of the ____________________ (specific name of the

event). Contributions to the event will be acknowledged in our advertisements, program,

and throughout the fair.

If you are making a financial contribution, please complete and return this form, along with

your check made payable to: __________________________________ (name and address) by

__________ (date).

If you are donating items for our health fair, please complete and return this form by

________ (date), with the items you are donating listed in the area below. We will contact the

person listed below to make arrangements to receive the items being donated.

For more information, please contact: (contact’s name, title, telephone number, and e‐mail

address).

****************************************************************************

Name of Sponsor/Organization:

(as you want it to appear in written information/materials)

Contact Person:

_______________ Title:

Mailing Address:

City, State, Zip:

______

Telephone:

___ Fax:

______

E‐mail Address:

______

Amount of Financial Contribution:

Special Designations for Your Contribution:

Platinum Sponsor $5001 and above

Booth Rental, Stage Setup

Gold Sponsor $2501 ‐ $5000

Food

Gold Sponsor $2501 ‐ $5000

Demonstration Supplies

Bronze Sponsor $1000 and below

Posters and Supplies

Liability Insurance

Health Fair Toolkit Page 17

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