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Your Information Required fields marked with *
*First Name:
*Last Name:
give as a company or organization
*Country:
*Address:
Apt:
*City:
*State / Province:
*Postal Code:
*Email:
*Phone:
-
-
Account Information
*Amount $
(U.S.)
Purpose:
*Frequency:
*Draft Date:
Note:
*Account:
Checking (most effective)
Savings (most effective)
Credit Card
*Routing #:
*Account #:
Example Check Click image for help
*Card Type:
*Card Number:
*Name on Card:
*Expiration:
/
Billing Address is different from Mailing Address
*Country:
*Address:
Apt:
*City:
*State / Province:
*Postal Code:
Be a light for life
“Platinum: $5,000+....... Gold: $3,000-$4,999 Silver: $1,000-$2,999 Bronze: $300-$999 Contributor: $299 and below............................... If you sponsor at $300 or more, you and a guest are​ invited to a VIP reception during the social hour (5pm-6pm) on the night of the banquet.​ If you sponsor at this level, we will ​will ​contact​ you with details.”
Your sponsorship is 100% tax deductible