Duck Derby
Sponsorship Form
Sponsor Contact Information
Name
First Name
Last Name
Business Name
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Donation Details
Sponsorship Level
Please Select
Golden Duck $1000
Silver Duck $500
Dandy Duck $250
Derby Duck $100
Donor Duck Any
Entery the amount below.
Sponsorship Amount
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next
( X )
USD
How you want to be involved
Event Sponsorship
Sell Tickets for Event
Sponsor & Sell Tickets
Other
Additional Comments
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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