2014 HEALTHY LIFE CIVIL WAR CHALLENGE

The PacificSource Healthy Life™ Civil War Challenge
- October 19th Thru November 26th -
Let’s Get Healthy!

The University of Oregon Ducks and Oregon State Beavers have always been known for their “healthy” rivalry. But this year, we want to know: Which team will step up and out-commit the other to living a healthy life, while improving the health of our community?

Each week, pledge to “Go Healthy” from Oct. 19th thru Nov. 26th and we’ll donate $1 for every pledge we receive to the charity of your choice. You’ll also be entered to win tickets to the 2014 Civil War and healthy prizes!

PLEDGE NOW TO LIVE A HEALTHY LIFE THIS CIVIL WAR

1. Contact Info: *This question is required.

First Name

Last Name

Zip

Email Address

2. I pledge to: *This question is required.

3. I am a: *This question is required.

Please enter an 'other' value for this selection.

4. Affiliation: *This question is required.

5. I pledge to live a Healthy Life on behalf of the following charity: *This question is required.

6. I have health insurance through PacificSource Health Plans: *This question is required.

7. Optional:

I would like to receive more information about PacificSource health coverage.
I would like to receive follow-up email communication with links to resources and information that will help me reach my personal health goals.
I am interested in participating in an online health/wellness challenge in the future.

The PacificSource Healthy Life Civil War Challenge is brought to you by your community health plan, PacificSource. To learn more about PacificSource and how we’re changing the health of healthcare, please visit us online at www.PacificSource.com.

PacificSource Health Plans | A Healthy Life Starts Here