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SPONSORSHIP CONFIRMATION

DONOR INFORMATION

Donor/Sponsor Name

Company Name

Street 1

Street 2

City

Province/State

Postal/Zip Code

Country

Contact Name

Title

Phone Number

Email

GIFT CONFIRMATION

I’m donating in the name of:

Organization\Honoree name:

I/We would like to sponsor at the following level:

Heat 1 Sponsor: $10,000+

Heat 2 Sponsor: $5,000+

Heat 3 Sponsor: <$2,500

Is this a personal or corporate contribution?

Personal

Corporate

Please select payment method:

Cheque

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I agree to the below statement: