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Chuckles for Charity - Corporate Sponsorship Form

Thanks again for being the superhero behind our event! We are deeply grateful for your contribution and commitment to our cause! Your generous support will make a significant impact in our programs and services for the brain injured community.

Sponsorship Level *	Quantity
$2,500 - Warrior Sponsorship
$1,500 - Champion Sponsorship
$1,000 - Hero Sponsorship
$100 - Pay It Forward

Contact Information

Organization/Employer

Name

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Add 3% to my total amount to help cover the payment processing fees