Sponsorship Commitment Form

2026 Fundraiser – Cultivating a Community that Cares

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Donor/Organization Name

Contact Name *

First

Last

Donor/Organization Phone /

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

Phone

Email *

Website / URL

Sponsorship Level

Select One:

• Bloom: Expanding Connection and Dignity - $2500
• Root: Strengthening Stability and Independence - $1000
• Seed: Planting the First Act of Care - $500

Submit