Event Request FormBusiness Name* Name Contact Person's Name and Title* Name Title Email Address* Phone Number*May we text you at this number?* Yes NoBusiness Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Website Has your company worked with HSP in the past? Please explain.*Name of Proposed Event*Event Date* Month Day YearEvent Location* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Time of Proposed Event* : Hours Minutes AMPM AM/PMDuration of Event*Event Description*What is the purpose(s) of this event?* Adoptions Fundraising Awareness PR/Media Donor Cultivation For fun! OtherIf Other, please specify:What type of assistance will you need from HSP staff or volunteers?*How many people will attend this event?*How do you plan on promoting this event?*Please list other organizations that will be attending this event.*Will this event have an admission fee?* Yes No UnsureWhere will this event take place?* Indoors Outdoors Indoors/OutdoorsWill WiFi be available?* Yes No UnsureWill food and beverage be available?* Yes No UnsureIn this event, or any aspect of this event, intended to be a fundraiser for HSP?* Yes No UnsureHow will the funds be designated for HSP?* No funds Physical Donations Only Ticket Sales Percentage of Admission Fee Percentage of Sales Unsure: Would like to discussWhat is the estimated total monetary amount to HSP?*Do you want HSP to bring pets to this event?* Yes No UnsureCan HSP sell items at this event?* Yes No Not ApplicableCan HSP collect donations at this event?* Yes NoPlease provide links to Facebook, Twitter, and Instagram.Is there any other information you'd like to provide us?