Section 1 of 1 in this document

Martin Luther King Jr. Celebration Sponsorship Payment Form

Organization Name

Phone Number

Additional Number (optional)

Email Address

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Fees

	Platinum	50,000
	Diamond	25,000
	Gold	15,000
	Silver	10,000
Subtotal
Processing Fee
Total

Payments processed through Stripe.

Email Address *

Card Holder Name *

Credit Card Number *

Security Code *

Exp Month *

Exp Year *

Martin Luther King Jr. Celebration Sponsorship Payment Form

Point of Contact

Mailing Address

Sign Here

Fees