Corporate Partnership Opportunities Commitment Form

Sponsorship Type*

Partner in Hope – $125,000

Partner in Discovery – $100,000

Partner in Impact – $75,000

Partner in Success – $50,000

Partner in Achievement – $25,000

Partner in Strength – $15,000

Partner in Resilience – $10,000

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
Impact Report Recipient
First Last
If different from individual listed above.
Title
Email
Date you'd like to be invoiced. Payments are due 60 days from commitment.*
Month
Day
Year
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.