Supporting Our Community - State College Orthodontics

Sponsorship Requests

At State College Orthodontics we value the community that has so graciously supported us. We pride ourselves in giving back through charitable donations. If you are an organization seeking charitable support or sponsorship, please click the button below to submit a request. (Priority is given to current and former patients.)

Sponsorship Request Form

"*" indicates required fields

Patient Name(s)*

Organization Name*

Event Title*

Event Description*

Date of Event

Contact*

Contact Email*

Contact Phone Number*

Check Payable To*

Payment Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

File

Max. file size: 50 MB.

Acknowledgement

I acknowledge that submission of this form does not guarantee donation by State College Orthodontics.

Phone

This field is for validation purposes and should be left unchanged.