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).
  5. IF YOU ARE UPLOADING FROM A MOBILE BROWSER, please select an existing file on your device, rather than attempting to upload files directly from the Camera app.

Resolve the errors marked in red before submitting again.

Details:

  • Oregon Pacific Bank will review each application thoroughly and respond to the applicants no later than January 10.
  • Preference is given to organizations serving the communities our branches are based in, which includes Coos, Douglas, Lane, and Jackson counties.
  • We generally consider requests ranging from $500 to $2500.
  • Our priority areas of focus are community social services and support, including assisting with basic human needs such as housing/shelter and food and education.

If you have any questions about our community relations, we’re happy to help. Contact us at any time.

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)
Request Type
Amount Requested (required)
If your request is for a specific event sponsorship, please provide the following details
Details
Name of Cause or Event
 
Date of Event
 
Cause or Event Information
Please upload any additional documents related to your cause or event
Additional Information
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?
Additional Comments (required)
Additional Documentation
Please upload any additional supporting documents
Acknowledgement

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.