Corporate Partnership Opportunities Commitment Form

Sponsorship Type*

Partner in Hope - $100,000

Partner in Discovery - $75,000

Partner in Impact - $50,000

Partner in Success - $35,000

Partner in Achievement - $25,000

Partner in Strength - $15,000

Partner in Resilience - $10,000

Partner in Hospitality - $7,000

Partner in Care - $5,000

Partner in Joy - $3,000

Other - as approved by Inn staff

Organization Name*

Logistics Contact*

First Last

Logistics Contact Title*

Logistics Contact Email*

Logistics Contact Phone Number*

Logistics Contact Address*

Street Address Address Line 2 City State ZIP Code

Is this contact the Executive Champion that should receive the acknowledgement letter?*

Yes

No

Executive Champion

First Last

Executive Champion Title

Executive Champion Email

Executive Champion Phone

Is the Executive Champion's address is the same as the Logistics Contact?

Yes

No

Executive Champion Address

Street Address Address Line 2 City State ZIP Code

Date you'd like to be invoiced. Payments are due 60 days from commitment.*

I acknowledge that this donation to The Inn is a contribution to support The Inn’s work as a partner in discovery with the NIH and The Inn’s commitment to providing free lodging and support services for the 1,500 families who typically stay at The Inn each year. The Inn may retain the full contribution, even if an associated event needs to be postponed or cancelled, unless our firm requests otherwise in writing.*

Check here.