SPONSOR ONLINE REGISTRATION FORM

First Name on Credit Card *

Last Name on Credit Card *

Billing Street Address *

City *

State *

Zip Code *

Country *

Phone Number *

Email Address

How did you hear about the banquet?

How many Sponsorships? *

Sponsorship levels are listed below (Click on the ? for what your sponsorship gets you): * 🛈

Yes, I will be a Platinum Sponsor. ($10,000) 20 Seats

Yes, I will be a Gold Sponsor. ($5,000) 10 Seats

Yes, I will be a Silver Sponsor. ($2,500) 10 Seats

Yes, I will be a Bronze Sponsor ($1,500) 10 Seats

Yes, I will be a Church Sponsor ($1,200) 10 Seats

NOTE: You do not need to know the names of your guests now. The Federation will mail you a guest list form to complete later.

NAME of individual(s), business or church to be acknowledged in the banquet printed program: *