OTPC sponsorships OTPC Donation FormPlease enable JavaScript in your browser to complete this form.Organization Name *Name of Contact Person *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLevel of Donation *Sustainer - $7,500.00Harvester - $5,000.00Propagator - $2,500.00Hydrator - $1,500.00Sower - $1,000.00Cultivator - $500.00Please upload a logo of your organization to be used in promotional materials. Click or drag a file to this area to upload. This form will be submitted to Public Health Institute of Oklahoma. PHIO is the managing partner and nonprofit fiduciary agent to OTPC. During the payment process you will have the opportunity to request an invoice and a tax-deductible receipt for your giving. If you have any questions, please reach out to jill@publichealthok.org. Submit