Forms Test Page | HealthFirst Family Care Center, Inc.

Online Event Registrations

Please complete this form to register for the event.

Step 1 of 2

Contact Details
Name*
First Last
Email*
Phone
Address*
Street Address Address Line 2 City State ZIP Code
T-Shirt Size (Unisex)*

Sponsorship Levels

Logos should be emailed to alautieri@healthfirsrfr.org. Deadline is October 15, 2021.

Name*
First Last
Title
Organization Name/Name as You Would Like it Listed
Email*
Phone
Address
Street Address Address Line 2 City State ZIP Code
Sponsorship Level
- $5,000 - Platinum (Includes logo displayed in the events section of our website for one year, mention in event press release, and 10 registrations)
- $2,500 - Gold (Includes logo displayed in the events section of our website for one year and 5 registrations to the event.)
- $1,000 - Silver (Includes logo displayed in the events section of our website for six months and 2 registrations to the event.)
- $500 - Bronze (Includes logo displayed in the events section of our website three months and 1 registration to the event)
Amount of Donation

$499 and under - Friends of HealthFirst - Logo on events page of website for 3 months
Total
$0.00
Credit Card
Card Details
Cardholder Name

Donation

HealthFirst Family Care Center, Inc. greatly appreciates the generosity of all who support our Federally Qualified Health Center. Your donations are tax deductible to the extent allowed by law.

As a non-profit community health center, HealthFirst Family Care Center, Inc. relies on funding from many different sources to continue to provide its important mission. These sources include grants, donations, fundraising events, annual appeals and capital campaigns. These funds allow HealthFirst to provide programs and services designed to meet the health care needs of everyone in the Greater Fall River area, regardless of their ability to pay. Access to quality, affordable health care is what we’re all about. I would like to make a donation/gift to HealthFirst Family Care Center, Inc.
Specific HealthFirst Program:
Donor Information
Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Email*
Telephone Number
Credit Card
Card Details
Cardholder Name
Total
$0.00
If you prefer to pay by check, you may download a PDF of our donation form by clicking on this link: On line Donation Form. Please make your check payable to HealthFirst Family Care Center, Inc. and mail to:

HealthFirst Family Care Center, Inc.
Att’n: Marketing & Development Department
387 Quarry St, Suite 100
Fall River, MA 02723

We sincerely thank you for your generosity. A statement confirming your donation for tax purposes will be mailed to you.

Online Event Registrations

Step 1 of 2

Contact Details

Event Details

Payment Details

Sponsorship Levels

Donation

Donor Information