Sponsorship Form
Please complete the required info so we may properly record your gift.
Company or Organization Name
*
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Sponsorship Level
*
Platinum Sponsor $7,500
Gold Sponsor $5,000
Silver Sponsor $2,500
Bronze Sponsor $1,000
Payment Information
Click here for PayPal
or
https://www.uwmchenry.org/donate
Signature
*
Submit Sponsorship
Submit Sponsorship
Should be Empty: