Aiming For A Cure · Sponsor Pledge

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Thank you for your interest in supporting Aiming For A Cure. Please use this form if you plan to pay for your sponsor package via check or cash.

Once you fill out this form and click submit you will receive an email confirmation that includes an invoice for your pledge.

If you have any questions please contact Rachel Virden at rachelvirden@aimingforacure.com or 678-448-2368 or you can contact your local Aiming For A Cure committee member.

Thank you for supporting Aiming For A Cure!

Contact Information

Please enter your personal contact information so that in the event Aiming For A Cure has a question about your submission we know who to contact.

Name *

First Name

Last Name

Email *

Verify Email *

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone *

Is this a corporate donation or a personal donation? *

Please let us know who should receive the donation receipt for this sponsor package.

Corporate Donation

Personal Donation

Organization/Company Name *

Company Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Which sponsor level are you purchasing? *

Executive ($10,000+)

Platinum ($2,500 - $9,999)

Gold ($2,000 - $2,499)

Silver ($1,000 - $1,999)

Bronze ($500 - $999)

Donation Amount *

Is this donation anonymous? *

No - please include the donation in the event program

Yes - please do NOT include this donation in the event program

How should we list your donation in the program for the event? *

Please click on the submit button below to submit your pledge to Aiming For A Cure. You will receive a confirmation email that can be used as your invoice for the donation.