Sponsorship Request Company NameYour Name* First Last Phone*Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Enter Email Confirm Email Sponsorship Level*2022 Drive For Adam Ball Sponsor is First Class Tint Hole Sponsor - $75 Clubhouse Sponsor - $200 Tournament Sponsor - $500 Title Sponsor - $1000 (Golf Foursome Included)How Would you Like to Pay for your Donation?* PayPal Credit CardWould you like to cover our processing fees as part of your donation?*By taking payments online, we lose money from your donation in the transaction/processing fees. These fees start to add up and are taking money away from the research. IF you would like to help ensure we get the full amount of your donation, please select 'Yes' from the drop-down below and we will add our processing fees (which we are charged, 2.9% +$0.30) to your donation amount.Select OneNoYesProcessing and Handling Fee Price: $0.00 Credit CardCard Details Cardholder Name Total Purchase Price $0.00 PhoneThis field is for validation purposes and should be left unchanged. TweetPinShare2525 Shares
