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Donation Request Form

Pledge Agreement Form

Personal/Organization Information

Name
Name
First
Last
(if no organization type, “blank”).
Address
Address
City
State/Province
Zip/Postal

Donation Options

Sponsorship Levels
Please choose one:
Your contribution is tax-deductible to the extent it exceeds the fair market value of the goods or services you receive.
Inclusion in printed materials depends on the timely receipt of the sponsorship agreement deadline of July 31, 2023.
Please send a vector file of your logo to be placed in advertising materials to [email protected].
With my signature, I have the authority to execute this sponsorship agreement on behalf of the company mentioned earlier
and committed the company to pay the above amount to Gilda’s Club Quad Cities, the total amount sponsored above.
 
Privacy Policy/Terms of Use
I have read and agree with the Privacy Policy/Terms of Use.

 

 

 

 

 


Thank you for making sure No One Faces Cancer Alone.

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