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?* Yes No Business 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 Year Event 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 AM PM 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?* Yes No Unsure Where will this event take place?* Indoors Outdoors Indoors/Outdoors Will WiFi be available?* Yes No Unsure Will food and beverage be available?* Yes No Unsure In this event, or any aspect of this event, intended to be a fundraiser for HSP?* Yes No Unsure How 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 discuss What is the estimated total monetary amount to HSP?* Do you want HSP to bring pets to this event?* Yes No Unsure Can HSP sell items at this event?* Yes No Not Applicable Can HSP collect donations at this event?* Yes No Please provide links to Facebook, Twitter, and Instagram.Is there any other information you'd like to provide us?