Thank you for considering partnering with the PMC Foundation for Quality Healthcare, Inc. . Foundation donations are tax deductible and translate into better healthcare outcomes for the people of our region. In short, your donations extend lives and save lives. This makes a tremendous difference in the lives of those saved and the families that love and depend on them.

To view/download the Sponsorship Agreement Booklet, click here or use the widget above.

Again we thank you for visiting and making a real difference in the lives of our patients!

Sponsors can open the PDF above for a printable version of the sponsorship form. For your convenience, you can also use our secure sponsorship form below.

2024 Speak From The Heart Gala Sponsorship Agreement

Please fill out the secure form below or click here for a printable form to mail in.

Pikeville Medical Center Foundation for Quality Healthcare, Inc., is a 501(c)3 not-for-profit charity. All donations are tax-deductible.

The organization or individual identified below agrees to sponsor, at the level indicated below, the Pikeville Medical Center Foundation for Quality Healthcare, Inc. 2024 Speak From The Heart Gala to be held on Saturday, February 10, 2024. PMC agrees to provide the items indicated in sponsor packages associated with that level of sponsorship and to use the proceeds from the event for the AVA Center.

Will you be attending?	Attending Sponsor Non Attending Sponsor
Sponsor's Legal Name:
Contact First Name: *
Contact Last Name: *
Mailing Address: *
City, state, zip: *	,
Phone: *
Email: *
Verify Email: *
Sponsorship Level/Amount:
Other Amount (if DIFFERENT than above).	$
Persons Attending - Separate by commas:

Payment

Accepted Cards

Credit card number

Exp Month/Year/

CVV (Verification number on card):

PLEASE double check the sponsorship level/amount chosen.