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Your Name
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First Name
Last Name
Organization/Sponsor Name
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Address
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Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Phone Number
*
Email
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Verify Email
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Be the Light Sponsorship Levels
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$10,000
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Title & Presenting Sponsor
$7,500
-
Firework Sponsors
$5,000
-
Illuminator Sponsors
$2,500
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Shining Sponsors
$1,000
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Sparkler Sponsors
$500
-
Glow Sponsors
Add 3% to my total to help cover processing fees!