Application for PeaceHealth Sponsorship - Alaska

Form Description

We ask that all groups and organizations seeking PeaceHealth's financial or in-kind sponsorship complete and submit this application. You're welcome to send supplementary materials to Marketing/Communications by mail at 3100 Tongass Avenue, Ketchikan, AK, 99901, or fax at 907-228-8581. To email materials or ask questions, contact Mischa Chernick at, 907-228-8300 ext 7176.


Fill in the information below. Use the scroll bar on the right to move down the page. When finished, click the Save button located at the bottom of the form.

Format: (999)999-9999