ITW Host Beneficiary ApplicationThis form must be completed in its entirety to be considered for Host Beneficiary opportunities. Official Host Beneficiaries are subjective to meeting specific criteria based on location, venue size and ability for our team to meet your needs. If you are unsure of certain details, state that in the blanks. You will be contacted within 72 hours of your submission.Please enable JavaScript in your browser to complete this form.Your Name *FirstLastYour Email *Potential Event Name *Social Host Site *Atlanta, GADallas, TXDenver, COMiami, FLBaltimore - DCChicago, ILKansas City, MOScottsdale, AZSan Francisco, CALas Vegas, NVEvent Type *- Please select -Themed PartyFundraiserComedy ShowInfluencer Meet & GreetThemed Engagement Creative Special EventHappy HourDinner ArrangementOtherIf Other, please specifyWhat part of the process can we assist with *- Please select -ResearchingPlanningBrainstormingReady to ExecuteEvent Description *Event Start Date / Time *DateTimeEvent End Date and Time *DateTimeCost Per Person *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow Can We Assist *StaffingCateringBar TendingBud TendingPerformer(s)SecurityNoneSubmit