Door Prize Sponsor Interest Form

Organization *

First Name *

Last Name *

Please share your pronouns *

Enter required value she/her he/him they/them ze/hir

Title *

Email *

Work Phone Number *

Cell Phone Number

Company Website *

Chamber Member Status *

Enter required value Current Member Current Impact Partner Not Yet a Member

Type of Door Prize *

Enter required value Gift Card Other Product Service Experience

Description of Door Prize *

(How should it be described when announced?)

Retail Value of Door Prize *

Fair Market Value of Door Prize *

Quantity Provided *

Any Restrictions or Expiration Dates?

Is this Door Prize exclusive to the Chamber for this event? *

Enter required value Yes No

Preferred Recognition Name

(If different from business or organization name)

Event(s) You're Interested in Sponsoring *

View Chamber Calendar

Preferred Event Date(s)

Will the prize be: *

Enter required value Physical item delivered in advance Digital (gift card/certificate) Provided day-of-event

Delivery Method / Notes

Logo Upload *

20MB max

Have you provided a door prize before? *

Enter required value Yes No

Anything else we should know?

Door Prize Guidelines Acknowledgement *

• The Chamber prioritizes door prize donations from current Members and Impact Partners.
 • All door prizes must be appropriate for a professional, inclusive audience.
 • Generous donations with higher retail value may receive enhanced recognition when feasible.
 • Door prize placement, timing, and method of distribution are determined by the Chamber.
 • Submission of this form does not guarantee acceptance or use at a specific event.
 • The Chamber reserves the right to decline door prizes that do not align with event needs, audience, or values.

Sponsorship Acknowledgement *

I understand that providing a door prize does not constitute a paid sponsorship. Recognition is provided at the Chamber’s discretion and may vary by event.

Electronic Signature *

Date *