www.opbc.com - (800) 997-7121 - #NotYourOrdinaryBank

Sponsorship and Donation Request Form
Submitter Information (Required)
First Name (required)
Last Name (required)
File Upload Form. Follow these instructions to upload files.

  1. Click to select a file for upload. For large files, this process may take a couple of minutes.

  2. If you accidentally select the wrong file, click the red "DELETE FILE" next to its name to remove it.

  3. Your files will be attached to this form when submitting.

  4. Allowed File Types: JPG, JPEG, GIF, PDF, PNG, SVG, TIF, TIFF, TXT, Office Docs (Word, Excel, PowerPoint).

Resolve the errors marked in red before submitting again.
Organization Information
Organization (required)
Primary Address (required)
Street, City, Zip
Primary Phone (required)
Organization Website
Primary Contact Email (required)
Tax ID (required)
Are you a current client of Oregon Pacific Bank? (required)
Have you received funding from Oregon Pacific Bank in the past?
Sponsorship/Event Information (if applicable)
Date of Cause or Event (required)
Name of Cause or Event (required)
Amount Requested (required)
Decision Needed By (required)
Cause or Event Information
Please upload any additional documents related to your cause or event
Additional Information
What is the mission of your organization? (required)
What is your service area? (required)
What needs does your organization meet? (required)
Please select all
How would the funds received from this application impact the communities you serve? (required)
How will you measure the success of the usage of funds requested? (required)
Additional Comments (required)
Additional Documentation
Please upload any additional supporting documents

By clicking "Submit", I agree that the information provided within this form is true and accurate to the best of my knowledge. I understand that Oregon Pacific Bank receives a high volume of sponsorship and donation requests, and is under no obligation to fulfill my request.