Sponsorship Request Form Thank you for considering Neighborhood Health Plan of Rhode Island to support your mission. Neighborhood is proud to support community organizations that improve the health of Rhode Islanders. Please complete this form to submit a request for event sponsorship, program support, or general support. Form fields with an asterisk (*) are required. It may take up to several weeks for your request to be reviewed.Name of Organization* (This must match the name on your W9)Event Name* Contact InformationName* First Last Title* Phone*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 (This must match the address on your W9)Email* Check Payable to* (This must match the name on your W9)Event InformationDate of Event* MM slash DD slash YYYY Time of Event* Location of Event* Address of Event* 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 Ad Request Due Date* MM slash DD slash YYYY Ad Size* Ad Color*NoneBlack&WhiteColorAd File Format*epsgifpdfpngtifjpgpress ready (300dpi) PDFtiffdpiIDML Indesign fileAd Language*EnglishSpanishBoth (English & Spanish)Upload Sponsorship Package*Accepted file types: doc, docx, jpg, jpeg, pdf, Max. file size: 10 MB.Upload doc, docx, jpg, jpeg, pdfUpload W9*Accepted file types: doc, docx, jpg, jpeg, pdf, Max. file size: 10 MB.Upload doc, docx, jpg, jpeg, pdfUpload EFTAccepted file types: doc, docx, dotx, jpg, jpeg, pdf, Max. file size: 10 MB.Upload doc, docx, dotx, jpg, jpeg, pdfCAPTCHA