Sponsor Information
Event Details
Terms of Agreement/Signature
Complete

Third-Party Event Application

This application must be submitted 90 days before proposed event. For questions, you may review Third-Party Event Policies and Procedures or contact the Community Health Network Foundation at 317-355-5261.

Name of Sponsoring Person/Organization

Is your organization a registered charity? If yes, enter your charitable registration number (tax ID for the IRS) below.

Yes

Tax ID:

Contact Person's Name

Organization/Company

Phone

Mailing Address

Mailing Address 2

City/Town

State

Zip Code

Third-Party Event Application

Sponsor Information