District 15 Donation Form
Funds donated support the mission and operations of District 15
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Type of Donation
*
Corporate Sponsorship
Small Business Ad
One Time Donation
Corporate Sponsorship
Please Select
$20
$50
$75
$100
Other
Small Business Ad
Please Select
Business Card" $25
1/4 Page Ad: $50
1/2 Page Ad: $75
Full Page Ad: $100
Back Page Ad: $125
One-Time Donation
Please Select
$20
$50
$75
$100
Other
Company Name
Upload Company Logo (optional)
Browse Files
Drag and drop files here
Choose a file
If you would like your company logo included on the Sponsor Page of the Conference brochure as a corporate sponsor, please upload it here. Donations of $125 or more ensures inclusion in the brochure.
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of
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Comments
Donation Amount
*
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( X )
USD
Please calculate the amount of your selections above and enter your total donation amount here
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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