Patriot Resilient Leader Institue

Amount

*

$5,000 - Full Retreat Sponsor

$1,250 - One Day Retreat Sponsor

$500 - Full Retreat Sponsor for One Veteran

$125 - One Day Retreat Sponsor for One Veteran

$50

$25

$

Donation Schedule

Is this gift a tribute donation?

*

No

Yes, In Honor of

Yes, In Memorial

Is this gift for the Executive Leader Campaign

Yes

No

Name of the person you are dedicating your donation to:

Branch of Military

Military Rank

Years of Service

Tribute Biography or Dedication

Camp Resilience will be happy to assist you in completing a biography for your Tribute, upon request.

Please contact me to discuss my donation and how I would like to honor my tribute

Contact by email

Contact by phone

Donor Information

This donation is a(n)

*

Individual Donation

Business/Organization Donation

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Business/Organization Logo

Please upload your logo if you would like it to be used in our promotional materials.

Name

*

Prefix

First Name

Last Name

Suffix

Email

*

Verify Email

*

Phone

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Name as you would like it to appear in our Annual Report:

Would you like your gift to be anonymous?

Anonymous

Tribute Information

In the following section, please provide Camp Resilience with information about your Tribute. By providing the information, you are agreeing that Camp Resilience (PRLI) may post the information on our Honor Wall. You may also skip this section and ask to be contacted directly by a member of Camp Resilience to discuss how you would like your Tribute to be honored on our Honor Wall.

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