WE SUPPORT OUR COMMUNITY Beeler Orthodontics is committed to the White Mountains community. We are happy to give to causes that coincide with our values and patient needs.

If you have a charitable cause you would like assistance with, please look over the causes we currently support. You may find we are already helping! We also have instituted a staff-reviewed, quarterly giving schedule that will review the applications received by patient families and organizations and award money or services based on our values.

To apply for support, please complete this application form and return to Beeler Orthodontics.

Your details Name: ______Phone and Email: ______

Please briefly explain your request including a detailed description of where the donations will be used: ______

Date and location of event (If applicable): ______

Organization or Charity benefiting: ______

Amount or service requested (If applicable): ______Other participating sponsors (if applicable): ______

Thank you for your application! We invite you to ‘Like’ our Beeler Orthodontics Facebook site and post any pictures of your team or organization. We hope to be in touch shortly.