Sponsorship

Request Sponsorship - This includes requests for monetary donations and participation requests for charitable races, golf outings, sports teams, or any other fundraiser

Request Expo - This includes requests to have a booth at any type of expo including health expo, family festivals, or a booth at a community event

Request Gift Donation - This includes requests for raffle or award prizes or gifts for charitable events.

First Name *

Last Name *

Your Email Address *

Your Phone Number *

Event Name *

Event Date *

Event Time *

Event Length *

Event Start Time *

Event End Time *

Event Expected Turnout *

Where Will Event Proceeds Go *

Event Purpose *

Relationship to Dr. Wax Orthodontics:

Current Patient

Past Patient

Sponsorship

Thank you!