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Empower Celebration Sponsor
Sponsor Levels
*
Quantity
$25,000
-
Empowerment Sponsor
0
0
$15,000
-
Opportunity Sponsor
0
0
$10,000
-
Advocacy Sponsor
0
0
$5,000
-
Dedication Sponsor
0
0
$2,500
-
Gratitude Sponsor
0
0
$2,000
-
Celebration Sponsor
0
0
Organization
Please provide the sponsoring organization's name here.
Name
*
First Name
Last Name
Contact Information (primary registrant/payer)
Email
Verify Email
Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Table guest name(s)
If known, please provide the names of your table guests.
Yes, add 3% to my total amount to help cover the payment processing fees