Form
Thank you for choosing to sponsor “Cycle for Chanelle” Please complete the form and email it to info@savechanelle.com
Company Name
*
Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sponsorship Package
*
Gold $1000
Silver $750
Bronze $500
Gift for Silent Auction / Raffle
Gift Option
If you are donating a gift or voucher to our silent auction, please deliver to the below address by COB 01/06/23 between 7.30-4pm.Address: Premier Electrical , 7/25 Rawlinson Street, O’Connor WA. We can also collect your item, please put your address above if this is your option.
Signature
*
Submit
Submit
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