www.opbc.com - (800) 997-7121 - The Bank for Your Business


Sponsorship Request Form
Submitter Information
First Name (required)
Last Name (required)
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Organization (required)
Primary Address (required)
Street, City, Zip
Primary Phone (required)
Organization Website
Primary Contact Email (required)
Tax ID (required)
Have you received funding from Oregon Pacific Bank in the past?
If yes, please detail the amount, purpose and frequency.
Are you currently a client at OPB? (required)
Do you have a dedicated banker at OPB? (required)
If yes, please provide the name of your banker
Amount Requested (required)
Organization Information (required)
Use of Funding (required)
Focus and Benefit (required)
Funding Breakdown (required)
Project or Event Information
Please upload any additional documents related to your request
What is your service area? (required)
What needs does your organization meet? (required)
Please select all that apply
Do you have any opportunities for Oregon Pacific Bank to partner with your organization for a larger community project or volunteer opportunities?
Additional Comments (required)