Christmas Reception Sponsorship

Support our Christmas Reception at one of the following levels!

Bronze - $250

Silver - $500

Gold - $1000

Amount 1
Your Info 2
Payment 3

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$250 $500 $1,000 Other $

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Your info

First Name

Last Name

Country

Address

City

Postal code

Phone

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Employer info

Employer

Occupation

Employer Country

Employer Address

Employer City

State

Postal code

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

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Payment info

Credit card number

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Security code (on back)

Contribution rules • I affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person. • My contribution is made from personal funds, and not from the general treasury funds of a corporation, organization or national bank. • I have not received any funds from another person or entity for the purposes of making this contribution. • I am a United States citizen, or a Green Card Holder who has been lawfully admitted for permanent residence and this contribution will not be reimbursed by another person. I confirm that the above statements are true and accurate. Don't publish my donation on the website.

Contributions are not tax deductible.

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