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Community Partner Program Registration

Join the Yavapai Regional Medical Center (YRMC) Foundation as a member of our Community Partner Program. Financial support from our community is vital as we strive to meet the needs of all those who call western Yavapai County home. You will be pleased to know since YRMC underwrites the Foundation’s salaries and operating costs, 100 percent of your donation directly benefits patients and families through our programs. Each gift is gratefully received and is tax-deductible to the extent allowed by law and your own tax circumstances. We have five different partner levels that offer unique recognition opportunities, to share with our community the difference you are making – Honor ($20,000), Hope ($10,000), Trust ($5,000), Kindness ($2,500) and Friend ($1,000).

Please click the “Choose a Fund…” dropdown field to select the fund you wish to support. Thank you for partnering with us to build healthier communities and improve lives.

I would like to donate to the following fund

Amount:

20,000

$20,000.00

10,000

$10,000.00

5,000

$5,000.00

2,500

$2,500.00

1,000

$1,000.00

Choose a Fund from the dropdown:

Additional Information

BBIS URL:

Company Name:

Company Job Title:

Billing Information

Title:

First name:

Last name:

Country:

Address:

City:

State:

ZIP:

Phone:

Email type:

Email:

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Community Partner Program Information

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Community Partner Program Registration

Donation Form

Community Partner Program Information