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Request Sponsorship

»Ê¹Ú¶ÄÇò HealthCare allocates a budgeted amount of dollars for community support and sponsorships. Sponsorship and charitable contribution considerations are specific to the counties served by »Ê¹Ú¶ÄÇò HealthCare.

Funds requested should meet the following criteria:

Sponsorships and charitable contributions will be limited to one time per year for each organization.

If an organization has multiple events in a year, please submit them all together in one request.

Instructions

  1. If you do not have a W-9 available, , fill out and save to your computer.
  2. If you are requesting sponsorship of multiple events, , fill out and save to your computer.
  3. Complete the sponsorship request form below. Make sure to upload your W-9 and, if applicable, multiple event request form, in the appropriate field.
  4. We will review each request and contact you via email.