RAINBOW SPONSOR FORM

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Step 1 of 3

I would like to purchase the following:

Sponsorship Levels

Purple Sponsor: $10,000

Red Sponsor: $5,000

Orange Sponsor: $2,500

Blue Sponsor: $1,000

Upload Logo or Artwork

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Accepted file types: jpg, gif, png, pdf, ai, eps, Max. file size: 50 MB.

Notes

Total

Name*

First Last

Company / Organization

Email*

Phone

Website

Mailing Address*

Include Suite number if needed City State ZIP Code

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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