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Find out what is happening at your local American Heart area

Corporate Sponsorship and Fundraising

Company/Organization/Individual's Name:
Company/Organization Type:
If you chose other company type, please list:
Brand Name:
Name of agency representing company if applicable:
Contact Person:
Are you the:
If you chose other contact type, please list:
Address:
City:
State:
Zip:
E-Mail:
Company Website:
Phone:
Fax:
Dates of promotion and/or length of promotion: , to
,
Has your company contacted the local American Heart Association office?:
If yes, who?
Basic concept or objective of company:
If you chose other company concept, please list:
What does the company believe AHA to gain from this opportunity?
Is this a co-venture (a percentage or all of money from sale of a product is donated to the AHA)?
What is expected of AHA to implement this program? Please provide details.
Estimated income from promotion:
Guaranteed income from promotion TO AHA Or % of income to AHA: or
Will other charities receive a portion of the income?
If so, which charities?
Does this request include AHA's name be utilized on any promotional printed materials or any other forms of publicity/communications?
Does this request include one of AHA's logos be utilized on any promotional printed materials or any other forms of publicity/communications?
If you chose other for logo, which logo?
Where will this product be sold?
Additional Information:
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