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SPONSORSHIP
Level of Sponsorship
Diamond - $40,000
Platinum - $20,000
Gold - $10,000
Silver - $5,000
Bronze - $1,500
This is a pledge and I will make other payment arrangements (ie. installment plan, alternate payment method, etc.).
Yes
To make payment arrangements, please contact our Development Office at
communications@cameronhouse.org
.
I have read and agree to the above instructions.
How would you like your name to be listed for recognition? If you would prefer not to be listed, please write "None".
SPONSOR CONTACT INFORMATION
First Name
Last Name
Phone
Phone Type
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Home
Mobile
Work
Email
BILLING INFORMATION
First Name
Last Name
Phone
Phone Type
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Home
Mobile
Work
Email
BILLING ADDRESS
Billing Street
Billing City
Billing State
Billing Country
Billing Zip
CREDIT CARD INFORMATION
Credit Card Number
Credit Card Expiration Month
Credit Card Expiration Year
Credit Card CVV
TOTAL CONTRIBUTION/PLEDGE
Total
$
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