Donations — Organization Sponsor

Please complete the form below for a donation. Most fields are required.

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Donation Details

Sponsorship packages are available at the Visionary ($30,000), Benefactor ($20,000), Pacesetter ($10,000) and Patron ($5,000) levels. For details, contact Erika Bonner at ebonner@kpmg.com or Marcia Harris at mharris@silcon.com. Or view a summary of sponsorship opportunities and benefits here.

Select from the pre-set donation amounts:

Patron

Pacesetter

Benefactor

Visionary

Personal Information

Please provide your personal information:

First Name:
Last Name:
Phone Number: (digits only)
Personal eMail Address:

Billing Information

Please provide your billing address:

Address 1:
Address 2 (optional):
Address 3 (optional):
ZIP Code:
City:
State:

Payment Information

Please choose a payment method for your donation:

Payment Type:

Credit Card
Check

Name on Credit Card:
Credit Card Number: (digits only)
CV2:
Expiration Date:
Bank Routing Number: (digits only)
Account Number: (digits only)
Check Number: (digits only)
Check Type: Company
Personal
Account Type: Savings Account
Checking Account


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