Sponsorship Form : How To Help : Keep Charlotte Beautiful, Inc.

Sponsor Name

Company Name (optional)

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Primary Phone

Mobile Phone

Email Address

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Sponsorship Level

Payment Amount

Enter an amount within the desired Sponsorship Level.

Upload your Logo

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Select a Payment Method

Cardholder Name

Credit Card #

Visa MasterCard American Express Discover Diners Club

Expiration Date

Security Code

Cover the fee associated with this online transaction?

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Cover the fee associated with this online transaction?

Account Holder

First Name

Last Name

Account Type

Account Number

Routing Number

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged