Sponsorship Request Form

First fill out these forms and then attach them to the Sponsorship Request form below.

EFT Enrollment Letter

EFT Payment Enrollment 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.
  • (This must match the name on your W9)
  • Contact Information

  • (This must match the address on your W9)
  • (This must match the name on your W9)
  • Event Information

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Accepted file types: doc, docx, jpg, jpeg, pdf, Max. file size: 10 MB.
    Upload doc, docx, jpg, jpeg, pdf
  • Accepted file types: doc, docx, jpg, jpeg, pdf, Max. file size: 10 MB.
    Upload doc, docx, jpg, jpeg, pdf
  • Accepted file types: doc, docx, dotx, jpg, jpeg, pdf, Max. file size: 10 MB.
    Upload doc, docx, dotx, jpg, jpeg, pdf