Gift Bag Sponsor

Please fill out or print the form below and send in your sponsorship amount

The Gift Bag Level Sponsorship includes Sponsor name on each gift bag. The Sponsorship amount is $500.

Please tell us about yourself and your company, Register By Mail or Register Online.  You may submit your donation via check, in person or right here via credit card.  See Payment Options for instructions.


Register By Mail

Or Register Online

Please tell us about your company

Select your donation options
Donate OnlineBy MailIn Person
if donating online, remember to click the donate button on the right when you have submitted this form

remember to send in your donation

Payment Options

Donate online

Just click the button and pay with a credit card or your paypal account.

Gift Bag Donation: $500.  You will be able to enter your donation amount on the next screen. Just enter $500 when prompted.

Donate by Mail

Make Checks Payable to “The Free Medical Clinic” and mail to:

The Free Medical Clinic
6209 Chapman hwy.
Knoxville TN 37920

** remember to include your printed registration form

Donate in person

Just stop by the clinic anytime