Sponsorship Form
Help Launch the Next Generation of Healthcare Leaders
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Name (If applies)
First Name
Last Name
Organization Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Sponsorship Tier Guideline Information
$25 - Training supplies for 1 fair student
$50 - Training supplies and lunch for 1 fair student
$100 - Partial camp scholarship (website mention)
$250 - Adopt a camp student sponsorship (website & social media mention)
$500+ - Health Fair and Camp sponsor (website, social media, & gala mention)
Investment Amount
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( X )
USD
Description
Credit Card
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