Community Vitality Funding

For questions regarding this form, please contact Briston Bamm at Briston.Bamm@allegiancehealth.org or (517) 788-4732.

Personal Information

Details of Request


Please indicate the type of support you are requesting:

$


Please indicate whether any of the following opportunities are provided to sponsors:



Please indicate the primary audience(s) served (check all that apply):




Please indicate your desired deadline for a confirmed sponsorship or donation.

Files must be less than 5 MB.
Allowed file types: gif jpg png txt pdf doc docx ppt pptx xls xlsx zip.


Information in the form of flyers and sponsorship levels is appreciated. If there is only one file, you can attach it here. Otherwise, you'll need to email it to Briston Bamm.

Eating junk food, fatty food and other convenience foods will result in a feeling of lethargy, tiredness, depression and bad complexion just to name a few. Try substituting these foods with high fiber, low fat food, mixed with a regular intake of fruit and vegetables.