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DWD Sponsorship - pay via credit card
Please complete this form if you would like to pay for your sponsorship by credit card. thank you!
Sponsorship Level
$5,000
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Platium - inc. 4 tickets
$3,000
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Gold- inc. 3 tickets
$1,500
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Silver - inc. 2 tickets
$1,000
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Host Committee (indiv.) inc. 2 tickets
$
Contact Information
Name
First Name
Last Name
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
File Upload
Please provide a high-resolution logo
Company Name
Guests - Who will be attending on September 21st?
Please list the name of the guests who will be attending
Add 3% to my total amount to help cover the payment processing fees