Become a Community Sponsor!
Please fill out this form and click submit.
Business / Organization Name
Contact Person's Name
*
Email
*
Phone
*
How Would You Like to Sponsor?
*
Please select one option.
Financial Sponsorship
Donate Door Prizes / Gift Cards
Donate Food / Services / Supplies
Both Financial and In-Kind Sponsorship
Sponsorship Level
Please select one option.
Diamond — $1,000+
Platinum — $750
Gold — $500
Silver — $250
Bronze — $100
Other Amount
Description of Donated Items (If donating items)
Estimated Value of Donated Items
Preferred Payment Method
Please select one option.
Give Online
Pay by Check
Have Someone Contact Me
May We Recognize Your Business Publicly?
*
Please select one option.
Yes
No
Company Logo Upload
Upload (8MB)
Additional Comments
Make checks payable to: Lifepointe Church
Memo: First Responders Banquet
Mail to: P.O. Box 387, Crockett, TX 75835
You can also use the payment method below
Payment
Diamond ($1000.)
Platinum ($750.)
Gold ($500.)
Silver ($250.)
Bronze ($100)
Other
Bypass ($0)
Diamond ($1000.)
Platinum ($750.)
Gold ($500.)
Silver ($250.)
Bronze ($100)
Other
Bypass ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
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AL
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AS
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BC
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PA
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Submit
Description
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