Error: Max characters allowed is 100 Error: Max characters allowed is 500 Error: Closest Airport is Required * Indicates Required Field Today's Date Organization Legal Name* Organization Address Suite, Floor number, etc.. Organization City Organization State Organization Zip Website of Event or Organization Event Name* Event Date* Event City* Event State* Event Zip Is your organization a 501c3 nonprofit agency registered with the IRS?* Please Select... Yes No Tax ID (EIN) Number: Contact First Name* Contact Last Name* Contact Phone Number Extension # (if applicable) Contact Email Address* Please select the Frontier City/Airport closest to where your Event, Sponsorship or Promotion will be taking place* Please select your Organization's Primary Focus Area Please Select... Animal Protection and Wildlife Conservation Arts & Humanities Children & Family Civil Rights & Liberties Education and Schools Ethnic Awareness Employment, Mentoring Programs Gay & Lesbian General Human Services International Human Rights Medical Research and Services Environment & Conservation Public Safety, Disaster Preparedness & Relief Religious Veterans & Military Youth Clubs, Recreation & Sports Organization mission: To improve the health of all people in our community. We do that with honesty, respect and dignity for our patients, visitors, and staff. We do that through expert and compassionate care, edication and knowledge sharing, community partnerships, fostering innovation and growth and by inspiring hope in all we touch. We do that by being good stewards of our resources and providing efficient and cost effective care to all. Years in Existence Type of Event* Please Select... Auction (Silent or Live) School / PTA Awards Banquet / Recognition Sports Outing Telethon Employee / Crew Event Number of projected attendees at event. Please Select... No On-Site Attendence Less than 100 101 - 250 251 - 500 501 - 1,000 1,001 - 5,000 5,001 - 10,000 10,001 - 25,000 25,001 - 50,000 50,000 - 75,000 75,001 - 100,000 More than 100,000 What type of support are you looking for from Frontier? Please Select... Ticket Donation Event sponsorship in the form of a cash donation Event sponsorship in the form of a a ticket donation and cash donation Who are some of your other supporters? Local restaurants, ski resorts, museums What is your minimum level to participate? Is there another airline involved? Please Select... Yes No If so, which one(s)? Have reached out to JetBlue, Southwest Have we supported your event before? Please Select... Yes No If yes, please describe when and how we supported your event. Unsure How do you plan to use the donation of Frontier flights, if approved? Please Select... Raffle Auction (Silent or Live) Business Development Fly In Talent / Staff for the Event Were you referred by a Frontier Employee? Please Select... Yes No If so, who? Comments For 130 years, HMC has been raising funds to support its mission, and the gala and silent auction have been HMC’s primary charity event. This year’s raised funds will benefit employee appreciation efforts of the Healthcare Heroes at Valley Health Systems. Our team provides compassionate, award-winning care and services to our community through our affiliates of Holyoke Medical Center, Holyoke Medical Group, Holyoke Visiting Nurse Association & Hospice Life Care, and River Valley Counseling Center. You’re invited to be a silent auction contributor of products or services to our fundraising event. As a donor, you’ll be featured in the following ways: Included in pre-event marketing, social media efforts, the event program, and in our annual Donor Report. We sincerely hope you will join us as a gift-in-kind donor. It’s an exciting way to partner with us and take pride in the important impact your gift will make. We appreciate your consideration.