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Sponsorship Commitment Form

AUTHORIZED PERSON CONTACT DETAILS (Personal)

Name

*

Telephone Number

*

Mobile Number

*

Email Address

*

Contact Details (Business)

Company/Business Name:

*

Full Address:

*

Telephone Number:

*

Email Address:

*

Company Web Address:

*

Social Media

Social Media

Social Media Usernames:

Sponsorship Level Desired

Choose One:

*

Choose One:

PLATINUM SPONSOR

GOLD SPONSOR

SILVER SPONSOR

Customized Package

Authorized Person Signature

Sign Below:

*

Signature

For sponsorship payment details, please contact Stacey Gibbs Impact22 Camp Coordinator Phone Number: 251-709-3944 Email: Stacey@22builds.org