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Donations and Sponsorship Request Form

Billings Clinic is a not-for-profit health care organization. Each year, our organization supports community activities through contributions and sponsorships.

We provide significant community support in the form of donations, sponsorships, volunteers and board membership that aligns with our organization's mission of health care, education and research. Please complete this form so we can review your request.

* Denotes required fields
* Are you or any member of your organizing board or committee an employee of Billings Clinic?
* Confirm that this request is for a not-for-profit organization.
* Did this organization receive support of any kind from us in the past?
* Will specific mention be made of our support?
* The purpose of the fundraiser/event (check all that apply) is to support
* Type of donation being requested

Attachments: If appropriate, please e-mail the following documents to

  • A copy of your W-9 is required if we have not supported your organization in the past
  • Additional sponsorship level and event information

NOTE: Has your event or sponsorship raised prices this year? Please note we may not be able to increase our donation to meet raised prices, because we budget one year in advance.