Sponsor Commitment Form
Sponsor Name/Organization
*
Contact Information
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sponsor Level
*
Diamond - $10,000
Gold - $5,000
Silver - $3500
In-kind Product or Service
Raffle Item
If In-kind, what is the value of the product or service?
If raffle item, please provide a description of the item(s) and its value.
Payment method:
*
Please Select
Visa
Mastercard
American Express
Check
In-kind Product or Service
Name of the Jack and Jill Charlotte Chapter member referral.
*
I understand, in order to receive sponsor benefits, a donation in the amount of the sponsor level chosen above will be made to the Jack and Jill of America Foundation following the completion of the Sponsor Commitment Form.
*
I agree
I understand, in order to be included in marketing materials, a logo will be provided to the Charlotte Chapter Jack and Jill of America, Inc following the completion of the Sponsor Commitment Form.
*
I agree
I understand the sponsor requirements and expectations.
*
I agree
Submit
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