Sponsorship Form

Sponsor:
Address:
Name:

Phone:

Fax:

Email:

Sponsorship Level

Platinum Sponsorship
$1000
Gold Sponsorship
$800
Silver sponsorship
$600
Student Designer
$500
Bag Insert
$150
Program Ad Space; Full $100, $50, ; $25
Front Insert & Back Cover $250
Other Donation

Authorized Signature

$
$
$
$
$
$
$

Date

Make Checks Payable To:

GSSLF
Memo- Beauty Against Bullying: Africa Bound

Send Checks To:

GSSLF
P.O. Box 447 Milford, PA 18337

Credit Card Information:

Name on Card: _____________________________________________________________________
Billing Address: _____________________________________________________________________
City: ________________________________State: _____________________ Zip: ________________
Visa

Card Number:

MasterCard

Security Code: ____________________________

AmericanExpress

Expiration Date: ___________________________

Cardholder Signature: _________________________________________________________________

For more information, please visit www.beautyagainstbullying.com or email dawn@dawnofnewyork.com
Good Shepherd Sustainable Learning Foundation is a 501(c)(3) nonprofit organization. All donations are tax deductible.