Sponsorship Levels

Sponsorship Level*
  • Supporting- $500
  • Bronze- $1,000
  • Silver- $2,500
  • Gold- $5,000
  • Platinum- $10,000
Today's Date (mm/dd/yyyy)*
Sponsorship Level (from above)*

Additional Donation

ALT welcomes additional donations at any time throughout the year.  To make a donation click on the support tab on the ALT home page.

Contact Information

Organization/Business
Job Title
Country*
State / Province*
Address*
City*
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Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code