Sponsorship Request | Caudill & Mcneight Orthodontics

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.

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.

"*" indicates required fields

Organization Name*

First Name*

Last Name*

Phone Number*

Email Address*

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

Current Patient

Past Patient

Parent or Patient

Amount Requested $*