Business name: Street address: City: State: Zip: Contact name: Telephone number (business): Fax number: Email: Web address: Team Name: Garner United Methodist Church LEVEL $5,000 Presenting $1,500 Gold $500 Bronze [ $0 OPTIONAL or delete]     – – – – $2,500 Platinum $1,000 Silver $250 Signature [$0 OPTIONAL LEVEL or delete]     – – – – METHOD OF PAYMENT Enclosed is my sponsorship check in the amount of $  Charge my credit card (please clearly)  Card Type: VISA MasterCard Discover AMEX     Cardholder’s name: Billing address: Card number: Exp. date: Security code: Please send invoice to:  We are unable to be a designated Relay For Life sponsor this year but enclosed is our donation of $ Sponsor Signature: Date: (Please sign and retain a copy for your records.)
Business name: Street address: City: State: Zip: Contact name: Telephone number (business): Fax number: Email: Web address: Team Name: Garner United Methodist Church  $5,000 – Presenting  $1,500 – Gold  $500 – Bronze  [ $0 – OPTIONAL LEVEL or delete]  $2,500 – Platinum  $1,000 – Silver  $250 – Signature  [$0 – OPTIONAL LEVEL or delete] METHOD OF PAYMENT  Enclosed is my sponsorship check in the amount of $  Charge my credit card (please clearly) Card Type:  VISA  MasterCard  Discover  AMEX Cardholder’s name: Billing address: Card number: Exp. date: Security code:  Please send invoice to: We are unable to be a designated Relay For Life sponsor this year but enclosed is our donation of $ Sponsor Signature: Date: (Please sign and retain a copy for your records.)
Relay_For_Life_Sponsorship_Commitment_Form_Tier_4.docx