Kick-A-Thon 2023: Join Us in Kicking Cancer!
Corporate Sponsorship Information Form
Company Name
*
Enter Company Name
Company Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
Company Address
Donation Amount ($250 Minimum)
*
$250
$500
$750
$1,000
Other Amount
If you were referred by a dancer, please share the dancer's name:
First and last name of dancer
Do you plan on kicking with us?
*
Yes
No
Maybe
Name and email of individual(s) who are planning to kick with us - up to 2 for Gold Sponsors and up to 8 for Platinum Sponsors
Indicated T-Shirt sizes needed and quantity (Platinum sponsors can request up to (8) t-shirts. Available sizes (Adult): XS, S, M, L, XL, XXL
For Platinum sponsors only! Please indicate how many VIP Tickets you would like (8 maximum)
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