Sponsorship Commitment Form

2027 Fundraiser – Cultivating a Community that Cares

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Donor/Organization Name

Contact Name *

First

Last

Address

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Contact Phone One:

Phone

Email *

Website / URL

Sponsorship Level

Select One:

• Bloom: Expanding Connection and Dignity - $5000
• Root: Strengthening Stability and Independence - $2500
• Sprout: Helping Essential Services Grow - $1000
• Seed: Planting the First Act of Care - $500

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