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Donation/Sponsorship Request Form

Donation/Sponsorship Request Form

FHHMC and FHW are committed to positively influencing the Heartland community and fostering the growth and health of your neighbors.

We welcome your requests, but ask the following:

  • Please make your request at least 8 weeks prior to your event or sponsorship deadline.
  • Completion of this form does not guarantee acceptance by FHHD.
  • We are unable to accommodate requests from individuals, for-profits, and out-of-area organizations.
  • Events that feature alcohol and tobacco products are not eligible for sponsorships. 

Once we receive your request, we will need at least 8 weeks advance notice to consider it. We will then contact you within 30 days regarding the status of your request, or if we need more information or have questions. If you have additional information you would like for us to take into consideration, please fax it to (863) 386-6386. To learn more about how Florida Hospital is benefiting the community, please review our Community Health Plan.

Example: this event will include a banquet and golf tournament. Tickets will be $50 per person, 50% of which can be considered a donation for tax purposes. This event will be open to the public and advertised in the local newspapers.
Example: Funds raised during our event will support bike safety education for children in our community.