Sponsorship Request Form

We are proud to sponsor many community activities in the Melbourne and Merritt Island area. If you’d like to request sponsorship for your cause or event, please review the following guidelines, and fill out the form below.

Guidelines

We will only contribute to organizations and groups.
Sponsorship must include Caudill Orthodontics’ name or logo in some form of publication and advertising for tax purposes. Additionally, a link to our website is required.
All required fields of the form below must be completed, including nature of the organization, the amount requested, time constraints of the request, and to whom the check should be addressed,
Donation and sponsorship requests must be made a minimum of 4 weeks before the deadline.
Due to the volume of requests, qualifying donations range from $25-$100
Due to the volume of requests, only patients of Caudill Orthodontics qualify for sponsorships.

PLEASE COMPLETE THE FORM BELOW TO SUBMIT YOUR DONATION OR SPONSORSHIP REQUEST.

Organization Name*

Name of Individual Representing Organization

First Name*

Last Name*

Email*

Phone Number*

Is the representing individual a current or past patient of Caudill Orthodontics?

Current PatientPast PatientParent of Patient

Amount Requested *

Please note, sponsorships average $50-$75.

If approved, to whom should the check be addressed? *

Please explain how the sponsorship would be used. *

How will Caudill Orthodontics be recognized for sponsoring? (Required for tax purposes) *

Sponsorship Deadline*

Event Date (if applicable)

Requests must be made 30+ days prior to the deadline.

Online

@321ORTHO

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Sponsorship Request Form

Guidelines

PLEASE COMPLETE THE FORM BELOW TO SUBMIT YOUR DONATION OR SPONSORSHIP REQUEST.

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Viera

Merritt Island

Melbourne

Viera

Merritt Island

Melbourne