Celebration of the Century Event Sponsorship Payment Form

Celebration of the Century - EVENT SPONSORSHIP PAYMENT
PRIMARY NAME

First NameLast Name
Organization Name (If applicable)
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I/We authorize HEAR Wisconsin to include our corporate, foundation, or family name and/or logo on materials relevant to our sponsorship level. (Please upload a hir-res jpeg or png file of your logo below)
Sponsorship Level
Quantity of Sponsor Level
Total (Includes a 3.5% Credit Card Fee - calculated automatically)

USDTotal Sponsorship Amount (Includes 3.5% CC Fee)

Celebration of the Century - EVENT SPONSORSHIP PAYMENT