RCDC 2024 | Sponsorship Commitment Form

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Thank you for supporting the Sexual Assault Center of NWGA as a sponsor for the Rome Celebrity Dance Challenge! If you have any questions about your sponsorship or this form, please contact rcdc@sacnwga.org.

Checks should be made payable to the following:

Sexual Assault Center of Northwest Georgia (SACNWGA)

PO Box 928

Rome, Georgia 30162-0928

If you are paying online, please select the GiveButter link that appears once your response is submitted.

Email *

Do you want your donation to support a team in their fundraising goal? *

No, I would not like my donation to count towards a team's fundraising total.

ASKEW : Bonny and Morgan Askew choreographed by Kathy Baird

BROCK : Dr. Bennett Brock and Tara Ogle

COWAN : Dr. John Cowan and Dicie Waters

HUFFMAN : Sarah Huffman and Caleigh Schroeder

JOHNSON : Shaylan Johnson and Russell Evans

LAPHAM YAUN : Dr. Rebecca Lapham Yaun and Stevanie Bell

SHERWIN : Jeff Sherwin and Hannah Camacho

TAYLOR : Amber Taylor and Lee Morris

WILLIAMS : Dawn Williams and Nicky Mann

Required

Business Name or Donor Name *

Who should we contact regarding your sponsorship and advertisement? (business contact) *

What is the business contact's email address? *

Mailing address? *

What is your phone number? Extension? *

Sponsorship Level Commitment

Payment Method *

I plan on using all of my tickets for the event. *

Yes

I plan on using some of my tickets. Please fill out the next question.

Required

If you are not using all of your corporate sponsorship tickets, please let us know how many tickets you plan to use.

I understand that sponsors are responsible for creating and submitting all advertisements and promotional videos. The SACNWGA is unable to create any advertisements or digital content. *

Yes, I understand that sponsors are responsible for creating and designing their advertisements and promotional videos.

I do not wish to use my ad space in the event program.

I acknowledge that all advertisements must be submitted by July 12, 2024 to be printed in the program. *

I will send my advertisement by uploading to the submission portal by Friday July 12, 2024.

I do not wish to use my ad space in the event program.

A copy of your responses will be emailed to the address you provided.

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