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First Name
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Address Line 1
Address Line 2
City
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PNG is preferred. Will also accept JPG, PSD, AI, and Vector Images. All logos will be used for publicity purposes only.

Please mail in the check for your specified amount to:

Prevent Child Abuse Illinois
528 S. 5th Street; Suite 211
Springfield, IL 62701

You will be contacted by Communications & Development Director Jeremy Goeckner once you've submitted this form to go over the sepcifics of your sponsorship.

THANK YOU FOR YOUR SUPPORT OF THE DOWNTOWN SPRINGFIELD FAMILY FUNFEST!