Corporate Campaign Sponsorship Commitment Form | United Way of Indiana County

Current Corporate Campaign Sponsorship
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Company Name:

Company Contact:

Street Address:

City:

State:

Zip Code:

Phone Number:

Email:

Sponsorship Level:

Community Leader ($7,500+)

Champion ($5,000+)

Partner ($2,500+)

Pledge Amount:

$2,500.00

$5,000.00

$7,500.00

Additional Pledge: $

Will you pay the 3% transaction fee so that we can maximize your donation?

Yes

No

Card Holder Information:

Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Payment Information