Sponsorship Program | Santen USA

As part of Santen’s commitment to vision care and patients’ wellness and quality of life, Santen offers sponsorships and donations to support endeavors that further an educational, scientific, or health-related charitable purpose.

Types of programs/events that are supported by Santen USA include, but are not limited to:

・Research and Scientific Meetings and Exhibits
・Medical Congresses
・Charitable Donations

To request a Santen sponsorship, please complete the following form and submit the required documents for consideration.
Requests must be submitted at least 60 days before any program or event start date to be considered.

SPONSORSHIP REQUEST FORM

Fields marked with an asterisk (*) are required

Organization

Contact Person

First Name

Last Name

Phone

E-mail

Amount Requested/Sponsorship Level (e.g, $10,000/Silver)

Date(s) of Event/Program

Short Event/Program Description

Expected Number of Attendees (If applicable)

Recipient Information

Check Payable To

Address

City

State

Zip

Country

Tax ID (must match Tax ID on submitted Form W-9)

*Required Documents

Please upload the following documents which are required. Note that only fully completed forms submitted with all required attachments below will be considered.

UPLOAD: (Format: .doc, .docx, .pdf, .txt/ Max file size: 1 MB)

・Cover letter on organization’s letterhead with signature and title of applicant
・Detailed description of program or event
・Completed Form W-9
・Completed 501 (c)(3) for charitable donation requests

BROWSE

Santen Sponsorships​

SPONSORSHIP REQUEST FORM

Santen
Sponsorships