Event Request Form Business Name* Name Contact Person's Name and Title* Name Title Email Address* Phone Number*May we text you at this number?*YesNoBusiness Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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* MM DD YYYY Event Location* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Time of Proposed Event* : HH MM AM PM Duration of Event*Event Description*What is the purpose(s) of this event?* Adoptions Fundraising Awareness PR/Media Donor Cultivation For fun! Other If 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?*YesNoUnsureWhere will this event take place?*IndoorsOutdoorsIndoors/OutdoorsWill WiFi be available?*YesNoUnsureWill food and beverage be available?*YesNoUnsureIn this event, or any aspect of this event, intended to be a fundraiser for HSP?*YesNoUnsureHow will the funds be designated for HSP?*No fundsPhysical Donations OnlyTicket SalesPercentage of Admission FeePercentage of SalesUnsure: Would like to discussWhat is the estimated total monetary amount to HSP?*Do you want HSP to bring pets to this event?*YesNoUnsureCan HSP sell items at this event?*YesNoNot ApplicableCan HSP collect donations at this event?*YesNoPlease provide links to Facebook, Twitter, and Instagram.Is there any other information you'd like to provide us?