Become a Sponsor - Department of Philanthropy

Black & Red Sponsorship

Please contact Sheryl Spivack-Braun at Sheryl.Spivack-Braun@hhchealth.org with any questions.

You may sign up to sponsor by filling out the form below, or checks can be mailed to:

Hartford Hospital
Department of Philanthropy
80 Seymour Street P.O. Box 5037
Hartford, CT 06102-5037

B&R Sponsor Form

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Next Steps: Install a Payment Add-On

To accept donations via this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.

Company Name(Required)

Contact Name(Required)

First Last

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Enter Email Confirm Email

Sponsorship Level(Required)

Premier Sponsor - $100,000 - 20 Guests

Marquee Sponsor - $75,000 - 18 Guests

Leadership Sponsor - $50,000 - 16 Guests

Presenting Sponsor - $35,000 - 12 Guests

Producer Sponsor - $20,000 - 8 Guests

Director Sponsor - $10,000 - 4 Guests

Spotlight Sponsor - $5,000 - 2 Guests

Total

If you know the names and emails of guests attending under your sponsorship, please provide that information below:

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Credit Card

Replace this field with a field specific to your payment gateway whenever possible.

Additional Comments

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