D4D Sponsorship Form

With a minimum gift of $200, your organization helps bring Dance for Disability to life. Gifts above this level are always encouraged and appreciated.

Additional sponsorship opportunities are also available, including Hospitality Sponsor ($400) and Entertainment Sponsor ($600).

Contact Information

If you are having technical difficulties, please call (715) 891-0528 between 9am-9pm.

Contact First Name

Contact Last Name

Phone

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.

YesNo

Address

Street Address Line 1

Street Address Line 2

City

State

Zip Code

Payment Information

How would you like to submit your sponsorship payment?

Pay now with credit/debit cardBy mail with a check

Mail Check

The minimum sponsorship amount is $200. 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?

YesNo

Email to receive invoice

Online Payment

Event

Year

Total Amount

$100 minimum

Name on Card

Credit Card Number

CVV

Billing Information

Street Address (Line 1)

Street Address (Line 2)

City

State

Zip

Contact Information