Buy a Tree. Change a Life. Partner

Company Name:*

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Payment Method*

CheckCredit Card

Partner Level*

$5,000 - Platinum Partner$3,000 - Gold Partner$1,000 - Silver Partner$100 - $999 - Bronze Partner

Please make checks payable to Impact Church.

Mailing Address:

Impact Church

P.O. Box 463

Seneca, SC 29678

Partnership Amount*

USDPlease list the dollar figure amount for Sponsorship

Partnership Form