Mt Moriah Sponsorship form
Name/Church/Buisness
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sponsorship Opportunities
*
Email
example@example.com
Supply Donations or Collection Drives
Donation Method
Check
Mail donation (4903 Noah Station rd keysville ga 30816)
Supplies only (no monetary donations)
Number of Campers or Junior Counselors You Are Sponsoring
Estimated Drop-Off Date (if hosting a collection drive —must be No later than April)
Mobile Number
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Additional Comments
My Products
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next
( X )
Campers
$200.00
$
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Junior Counselors
$100.00
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Collection/drive hosted by church or business
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
Should be Empty: