Wine, Women & Wisdom Sponsorship Application

Name*

First NameLast Name
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
Phone Number*
Please enter a valid phone number.
We will sponsor at the following level:*

Speare Shuffle Platinum Sponsor - $1,500Speare Shuffle Gold Sponsor - $1,000Speare Shuffle Silver Sponsor - $500Speare Shuffle Bronze - $250Speare Shuffle Copper Sponsor - $100
T-Shirt Size
Second T-Shirt Size
Third T-Shirt Size
Fourth T-Shirt Size
Fifth T-Shirt Size
Sixth T-Shirt Size
I'd like to pay by check
If you'd prefer to pay by check rather than online, please click yes below then hit the submit button and your sponsorship form will be emailed to us.
A NOTE ABOUT PAYING ONLINE:

After you complete the form, hit submit. This will send your form to the Speare Shuffle 5K staff. It will also open a payment portal powered by Instamed. You will see a box that says "Donation". Please input the dollar amount for the sponsorship level you've chosen and enter your contact info as prompted and on the next screen, you will enter your payment information.
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A NOTE ABOUT PAYING ONLINE: