Southern Black Girls Dream Conference Sponsorship Form

Sponsorship Confirmation
CLICK FOR SPONSOR BENEFITS
Level of Sponsorship*

She Got Next - $250,000Dreams Come True - $100,000Creating Joy -$50,000Love & Liberation - $25,000Elevating Futures Sponsor - $15,000In-Kind / Media Sponsor
In-Kind Sponsor: Total Estimated Value
In-Kind / Media Sponsor: Provide a detailed description of the product(s) or service(s).

Payment Information
Instructions

Upon submission of this Sponsorship Commitment Form, an invoice will follow. Make checks payable to: Black Belt Community Foundation, Attn: Southern Black Girls, 609 Lauderdale Street, Selma, AL, 36701. All payments are due in full by May 1, 2024.
Form of Payment:*

ACH (Electronic bank transfer)Check (Make payable to: Southern Black Girls and Women's Consortium)Credit CardIn-Kind (Non-Cash)
Billing Contact (if different than above)

First NameLast Name
Billing/Invoice Address (if different than above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Comments or Requests:
Sponsor Agreement:

By submitting this form, the sponsor agrees to the terms outlined in the sponsorship levels and commits to providing the selected sponsorship payment in full by May 17, 2024. The organizer reserves the right to allocate benefits based on the sponsorship level and payment received.
Authorized Signature:

Powered by Jotform SignClear
Date Signed

MonthDayYear
Date
Should be Empty:

2025 Sponsor Commitment Form