Gift Information

Please select the desired sponsorship package, and then enter your sponsorship value in the donation amount box.

2018 Healing & Hope
  • Signature Sponsor - $10,000
  • Community Sponsor - $5,000
  • Corporate Sponsor - $2,500
  • Table Sponsor - $1,500
Donation Amount*
$

Contact Information

Company/Individual Name

This name will be listed on all published materials, per sponsorship level.

Country*
State / Province*
Address*
City*
*
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Email*
Confirm Email*
Phone*

Payment Information

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