7/31/2010    
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Girls Incorporated of the Greater Peninsula

Sponsorship Level Form
 

Girls Incorporated of the Greater Peninsula

Inspiring all girls to be Strong, Smart, and Bold

Sponsorship

Information (please print)

Name/Business Name


Address


City


State


ZIP Code


Telephone (home)


Telephone (business)


Fax


E-Mail


Sponsorship Level

I (we) sponsored: $10,000 $5,000 $2,500 $2,000 $1,500 $1,200 $1000 $____

The sponsorship is made in the form of:
cash check credit card ____ online payment (www.girlsincofgreaterpen.com)

Credit Card Information

Type of Credit Card: ___VISA ___ Master Card ___ Amex   ____ Discover Card

Name as it appears on the card: _______________________________________________________

Credit Card Number: _________________________________________________________________

Three digit code (on back of card) ______________________________________________________

Expiration date: _____________________________________________________________________

I (we) wish to have our gift remain anonymous.

Signature(s)

Date


Please make checks or other gifts payable Girls Inc. Return this form along with your payment option to:  

Girls Incorporated of the Greater Peninsula

1300 Thomas Street, Suite C

Hampton, Virginia 23669

Phone: 757-722-6248

Fax: 757-722-6249
 
 
 
Click here to print form in Word document: