2026 CONTRIBUTION AGREEMENT

PATRONS - please select the level of your TOTAL donation (Patrons + Roto) and enter your Patrons amount below.

PATRONS SUBTOTAL:

$1,000 - $250,000 +

NAME(S) OR ENTITY TO BE LISTED AS PATRON:

Standard listing is first name(s) and last name or entity name

PHOTO AD SIZE

Once your agreement is received, a CBA member will contact you to schedule your photographs. Up to two (2) business owners or managers may be included in your photograph. Please provide any additional information you wish to share:

ROTO UNDERWRITING OPPORTUNITIES

UNDERWRITING (FULL PAGE) $1,500

UNDERWRITE A SPOTLIGHT ON A 2026 CBA FUNDED AGENCY $1500 - SOLD

UNDERWRITING (HALF PAGE) $750

LINE AD $250 (If you wish to purchase a second line ad in the same category, please enter in the box marked "other")

NAME(S) TO APPEAR IN PRINT (for Rotogravure):

ROTOGRAVURE SUBTOTAL:

GRAND TOTAL:

PAYMENT OPTIONS

If transferring stock, name of stock?

Please click here for instructions on transfering stock/sercurities to the CBA brokerage account.

If paying by credit card, would you like to cover the fees (2.9%) so that your full donation amount can support the CBA?

2.9% fee

TOTAL

DONOR IS A:

Does your employer match charitable contributions? Please check below if so.

DONOR(S):

CONTACT NAME:

CONTACT PHONE:

CONTACT EMAIL:

ADDRESS (BUSINESS OR INDIVIDUAL):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

BILLING ADDRESS (IF DIFFERENT FROM ABOVE)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

FOR BUSINESS, FOUNDATION, COMPANY OR OTHER: AUTHORIZED BY:

First NameLast Name

POSITION/TITLE

Signature

Click and drag your cursor or use your finger on a touch screen to sign.

Special Instructions

Total to be charged to credit card

USDPlease enter total amount you would like to charge today.

Credit Card