Sponsorship Commitment Form

Thank you so much for your interesting in being a sponsor at our 11th annual Barefoot Gala on November 12! We cannot wait to celebrate during this special evening together.

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Sponsorship LevelPlease select your desire sponsorship level.
Is this a corporate or personal sponsorship?
Individual or Organization To Be Invoiced
Is your billing address different than the mailing address listed above?
Is the individual who will be available to the Samaritan's Feet team for questions, etc. the SAME as the contact listed above?
Event/Gala Contact - Individual who will be available to the Samaritan's Feet team for questions, etc.
SignatureI agree to the above stated sponsorship for the 11th annual Samaritan's Feet Barefoot Gala. I understand that payment is due upon receiving an invoice unless otherwise requested.
(Sign Here)
Clear Signature
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