Sponsorship Application Form

Sponsorship Application Form

Thank you for your interest in supporting the Henryetta Chamber of Commerce through sponsorship. Your contribution helps fund community events, business development programs, and local initiatives that strengthen Henryetta’s economic vitality.

Business Information

  • Business Name
  • Business Address
  • City, State, Zip
  • Business Phone
  • Business Email
  • Website URL

Primary Contact

  • Contact Person
  • Title / Position
  • Phone
  • Email

Sponsorship Details

  • Event or Program Sponsoring
  • Sponsorship Level (Gold, Silver, Bronze, Custom)
  • Amount Committed
  • Special Requests or Notes

Billing Information

  • Billing Contact Name
  • Billing Email
  • Billing Phone

Signature

  • Authorized Representative Name
  • Signature (Typed)
  • Date