P: 571-730-4330     VP: 202-540-8617

Thank you for your interest in having us support your event!

By submitting this request for sponsorship, you confirm that your event or program is both open to and inclusive of the Deaf and Hard of Hearing Community and in no way discriminates on the basis of gender, race, sexual orientation, national origin, religion, age, marital status, or disability.

Requests will be responded to within 5 business days.

Requestor Name

Title

Organization

Phone

Email

Mailing Address

City

State

ZIP

Has Access sponsored your organization in the past?

Event / Program Dates

Title of Event or Program

Address of Event or Program

City

State

ZIP

Describe the goals of the event or program

Event URL and / or other web links

Target Audience

Expected Attendance

How does your organization intend to advertise the event / program?

Additional Event / Program Information

Sponsorship Type

What are the benefits to sponsors for supporting your event / program?

By what date are you requesting sponsorship be provided?

How did you find out about Access Interpreting?