AHFR Sponsorship Request

Organization Name*
Organization Phone Number*

Area CodePhone Number
Contact Name*

First NameLast Name
Contact Person Phone Number*

Area CodePhone Number
Email*
example@example.com
Mailing Address*

Address

Address Line 2

CityState / Province

Postal / Zip Code
Tax ID #*
W9

Browse Files
To expedite funding, please upload a copy of your organization's W9 Cancelof
What are you requesting?*
Please provide an explanation of your request (funding amount or items requested, date of event, etc.)*
Are you requesting sponsorship for an event?*

YesNo
What date do you need funding or materials by? (Please note, responses take up to 45 days)*

MonthDayYear
Date
Is this a health care or wellness related request?*

YesNo
Which priority area does your event or request align with?*

Access to HealthcareMental and Behavioral HealthChronic DiseaseHousing and HomelessnessN/A
Which priority area does your event or request align with?*
How does your request provide community benefit?*
What goals will this sponsorship help you accomplish?*
How does this request fit within Adventist Health Feather River's mission?*
How does this request enhance Adventist Health Feather River's impact in our community?*
Are there any other organizations involved in this sponsorship?*

YesNo
Who?
Has Adventist Health Feather River ever sponsored or partnered with your organization before?*

YesNoNot sure
Please provide any additional information you feel would be helpful or relevant to this request:
Support Documents

Browse Files
Upload any additional documents that would support your sponsorship request. Cancelof
By providing your details and clicking "Submit" you agree to:
- Receive communications from Adventist Health through email, SMS, text, or calls by an automated telephone dialing system for the purpose of Adventist Health maintaining its relationship with you and providing you information related to services you may be interested in.
- Adventist Health collecting and disclosing to third parties personal information and communications for the purpose of fulfilling your inquiries or requests for services or information.
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