Care Partners of Cook County · Business Sponsorship Form

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Thank you for your interest in helping Care Partners support community members on the journey of aging and end-of-life!

Business/Organization Name

Your Name

First Name

Last Name

Title (optional)

Verify Email

Phone

Mailing Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

I would like to:

Receive information about business/organization sponsorships

Become a business/organization sponsor by making a donation

Your sponsorship at any level makes a difference!

Donation Amount

Donation Schedule

Continue donating until

(mm/dd/yyyy)

I would like Care Partners to contact me about:

Care Partners programs & services

Volunteering with Care Partners

Scheduling a Dementia Friends presentation for my organization/business

Other

Please contact me about:

Add 3% to my total amount to help cover the payment processing fees