D4D Sponsorship Form
Contact Information
If you are having
technical difficulties
, please call (715) 891-0528 between 9am-9pm.
Contact First Name
Contact Last Name
Phone
Email
Job Title
Website
Sponsor's Name/Organization
I will take advantage of having a table at the event. I will arrive between 3:30-4:00pm and stay until 7:00pm.
Yes
No
Address
Street Address Line 1
Street Address Line 2
City
State
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Alabama
Alaska
Arizona
Arkansas
California
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Connecticut
Delaware
District Of Columbia
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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Montana
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New Hampshire
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New York
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Ohio
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Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip Code
Payment Information
How would you like to submit your sponsorship payment?
Pay now with credit/debit card
By mail with a check
Mail Check
The minimum sponsorship amount is
$100
. Make check payable to
"Camp Daniel" with "D4D" in the memo
. Checks can be mailed to:
Camp Daniel, W10541 Army Lane, Athelstane, WI 54104
Do you need an invoice?
Yes
No
Email to receive invoice
Online Payment
Event
Year
Total Amount
$
$100 minimum
x
Name on Card
Credit Card Number
MM
YY
CVV
Email
Billing Information
Street Address (Line 1)
Street Address (Line 2)
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip
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Contact Information