WW Sponsorship Form

WW Sponsorship Form
Sponsor's Name
(Business, Organization or Individual)
Name of Contact Person

First NameLast Name
Title
E-mail
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select the sponsorship level that best aligns with your support:

Woman Warriors Sponsor - $475Desired Amount
Every Dollar Makes a Difference

A sponsorship of $475 will fully cover the cost of providing a high-quality wig to one woman currently undergoing chemotherapy— including all materials and services needed to ensure comfort, style, and confidence.

But you don’t have to give the full amount to make an impact.

Any donation — big or small — helps us get closer to sponsoring a woman warrior. Little by little, with the help of generous hearts like yours, we can come together to restore hope and dignity to women in treatment.

Whether you give $25, $100, or more, your support becomes part of a powerful gift that reminds her: she’s not alone.
Additional Comments or Requests:
Sponsor Agreement:

By signing below, I acknowledge that I am sponsoring a woman currently undergoing chemotherapy through the Woman Warriors Wig Sponsorship Program. My contribution will go directly toward the cost of materials and services required to provide a high-quality wig to a woman in need.

I understand that:

- I will receive a receipt for my donation for record-keeping or tax purposes.

- I will be recognized as a sponsor through Hair N’ Bloom and may be featured in program communications or social media (unless I request anonymity).

- This sponsorship is a charitable gift and not a purchase of goods or services.
Authorized Signature:

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Date Signed

MonthDayYear
Date

Donation Amount

USDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Thank you for your generosity and for helping restore confidence and dignity to a women warrior in our community.
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