2023 Maintain Your Brain Battle of the Bands Donation Form

EVENT SPONSORSHIP AND DONATION FORM

Maintain Your Brain Battle of the Bands, NC State University, April 15, 2023
Full Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
How would you like your sponsorship listed in promotional materials, on website, etc. (what name, or if logo, please send logo to maintainyourbrainnc@gmail.com)?
Level of Sponsorship or Other Donation (see website for sponsorship level benefits)*

Stage Sponsor $2,000Headliner Sponsorship $1,000 & upOpening Act Sponsorship $500Roadie Sponsorship $250Fan Sponsorship $100Other
Donation Amount*

prevnext( X )
USDPlease enter your donation amount
If you are an event sponsor, please email your company logo to maintainyourbrainnc@gmail.com in jpeg or eps format.

If PAYING BY CHECK, PLEASE SELECT MAIL WITH CHECK AND SUBMIT FORM ONLINE. MAIL CHECK
(Checks payable to Triangle Aphasia Project Unlimited) TO:
Maintain Your Brain NC c/o Charlotte Fullbright, 2306 White Oak Road, Raleigh, NC 27608

TAP Unlimited is recognized by the IRS as a 501(c)(3) charity organization.

Your donation may be fully deducted for federal income tax purposes (up to 50% of your adjusted gross income).

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

EVENT SPONSORSHIP AND DONATION FORM