Sponsorship Form Dear potential sponsor, Val Verde Regional Medical Center sponsors a large number of community events, celebrations and functions every year. We make every effort to be fair in our sponsorships. Frequently, we must rotate events to every other year. Please do not get frustrated if we are unable to sponsor your event this year. Sponsorship Organization *Organization name Required *Contact first name Required *Contact last name Required *Mailing address *City Required *State Required Select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip Required *Email address Required *Phone number Required Sponsorship Information Resources requested (please check all that apply) Ambulance service Bike medics Water or food Volunteers Financial donation Other *Describe your event (What is it? Who does it benefit? How many years has it been done?) Required *Event date Required *Event location Required Deadlines *Date your organization needs an answer Required Date your organization needs a check (if any) Date your organization needs completed forms (if any) Additional information about your event, organization or needs Submit
