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 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* Month Day Year 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* : Hours Minutes 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?