Starlight Gala Sponsorship - Good Samaritan Free Healthcare

Gala Sponsorship

Name

First

Last

Company

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Sponsorship Level & Amount

If you'd rather send your sponsorship via ACH or check, please email us at gala@goodsamaritanfreeclinic.org.

PayPal know? Amount

PayPal Commerce

Card Number

Expiration Date

Security Code

Card Holder Name

Logo files

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

If your sponsorship level includes logo recognition, please provide a high resolution png/svg/ai/pdf file. Must be under 5MB.

Anything else we should know?

From urgent or chronic, to spiritual care, we provide services to those that are uninsured, underinsured, and those most in need.