5K Sponsor Form
Thank you for sponsoring the 11th Annual Camp Assurance 5K!
Sponsor Name as it should appear on trail sign or t-shirt (maximum 30 characters including spaces)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Contact Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
If you would like to order 5K shirts, please list sizes here, then select total quantity below.
Sponsorship Amount
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( X )
$25 Sponsorship
$
25.00
$100 Sponsorship
$
100.00
$250 Sponsorship
$
250.00
$500 Sponsorship
$
500.00
$1000 Sponsorship
$
1,000.00
T-Shirt Add-On
$
15.00
Quantity
I would like to help cover the online card processing fee.
$
5.00
Quantity
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
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