Leadership Giving Benefit Form - Keepers of the Flame ($5,000 - $6,999)

Complete this form AFTER your donation is complete and your pledge is fulfilled.

Keepers of the Flame Benefits

  • July 2022 Centennial Boule Registration (1)
  • November 2022 Centennial Founders Weekend Celebration Registration (1)
  • VIP Full Access (1)
  • VIP Reception (1)
  • Gift Package
  • Centennial Leadership Giving Shirt (2)
  • SGRho ICHQ Acknowledgements
  • Name listed in Centennial Souvenir Booklet
  • Name listed in E-blast to membership/The Aurora
Primary Donor (must match pledge/donation)
July 2022 Centennial Boule
Provide name/information for attendee receiving free registration for Centennial Boule.

November 2022 Centennial Founders' Weekend
Provide name/information for attendee receiving free registration for Centennial Founders' Weekend.

Person who will pick up gift package and Leadership Giving shirts
Leadership Giving Shirt Sizes (Adult Unisex Sizing)
Shirt #1 *
Shirt #2 *
Name(s) to be reflected in formal acknowledgements
Please confirm spelling is correct.

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