Business Name
Country*
Email*
Confirm Email*
Phone*
Quantity
Price
Total
Warrior Sponsor
X
$
15,000.00=
$
0

Hero Sponsor
X
$
10,000.00=
$
0

Leader Sponsor
X
$
7,500.00=
$
0

Friend Sponsor
X
$
5,000.00=
$
0

Prologue Party Sponsor
X
$
4,000.00=
$
0

Bar Sponsor
X
$
4,000.00=
$
0

Photography Sponsor
X
$
4,000.00=
$
0

Sponsor
X
$
2,500.00=
$
0

Final Total:
$
0

Contact Deb DeBusk at 913-378-1517 or deb.debusk@safehome-ks.org for additional information.

Payment Information

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

Security Code

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