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Sponsorship Form

About Us
Why Us
Services
Grief & Loss Center
Patients
Health Partners
News
Careers
Volunteer
Events
Foundation

Support Pikes Peak Hospice Foundation through Sponsorship

Make a Difference. Your Support Matters.

Pikes Peak Hospice Foundation (PPHF) is proud to offer exclusive sponsorship opportunities for 2025. Partner with us to make a meaningful impact on our community and elevate your organization’s commitment to compassionate care.

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Date
MM slash DD slash YYYY
BECOME A SPONSOR
Sponsorship Level*
Select the appropriate sponsorship level from the options below.
- Annual Sponsor Tier 1 - $7,500
- Illuminations Sponsor Tier 1 - $4,950
- Trees of Life Sponsor Tier 1 - $4,950
- Annual Sponsor Tier 2 - $5,000
- Illuminations Sponsor Tier 2 - $3,300
- Trees of Life Sponsor Tier 2 - $3,300
- Annual Sponsor Tier 3 - $3,000
- Illuminations Sponsor Tier 3 - $2,000
- Trees of Life Sponsor Tier 3 - $2,000
SPONSOR INFORMATION
Tell Us About Yourself*
- Individual
- Foundation
- Service Organization
- Corporation
- Government
- Estate
- Religious Institution
Sponsor Individual?
- Individual
Sponsor Organization?
- Organization
Organization Name*
Please enter the name of your organization (foundation, corporation, government agency, etc.):
Sponsor Name*
First Last
Sponsor Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Sponsor Mailing Address Type*
- Home
- Work
- Vacation
Sponsor Email*
Sponsor Email Type*
- Home
- Work
Sponsor Phone*
Sponsor Phone Type*
- Mobile
- Home
- Work
BILLING INFORMATION
Billing Name (as shown on credit card)*
First Last
Billing Address*
Same as Sponsor Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Email*
PAYMENT INFORMATION
TOTAL SPONSORSHIP AMOUNT
Note: All donations are fully tax deductible as allowed by law.
$0.00
Credit Card*
QUESTIONS or COMMENTS?
Questions or Comments?
If you have any questions, please call Pikes Peak Hospice Foundation at 719.457.8104 or use the area below:
Consent*
By clicking the "SUBMIT" button below, you are authorizing Pikes Peak Hospice Foundation to charge to your credit card the amount entered above and to process your data for the purposes of this form. We value your privacy. Read about our privacy practices for more information.
If you experience any issues submitting this form, please call Pikes Peak Hospice Foundation at 719.457.8104 and a representative will help you.
Email
This field is for validation purposes and should be left unchanged.

Phone: 719.633.3400
Fax: 719.633.3800
HIM/Medical Records Fax: 720.990.5621
Email: Mail@PikesPeakHospice.org
EIN: 84-0816047

PPHPCArtboard 1_150-wide

Copyright All Rights Reserved 2025
Contact Us | Privacy Practices | Tax Information | Notice of Non-Discrimination

Pikes Peak Hospice Foundation
2550 Tenderfoot Hill Street
Colorado Springs, CO 80906
EIN: 84-1453050

Phone: 719.633.3400
Fax: 719.633.3800
HIM/Medical Records Fax: 720.990.5621
Email: Mail@PikesPeakHospice.org
EIN: 84-0816047

PPHPCArtboard 1_150-wide

Copyright All Rights Reserved 2025
Contact Us

Pikes Peak Hospice Foundation
2550 Tenderfoot Hill Street
Colorado Springs, CO 80906
EIN: 84-1453050

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