Heart of Georgia Transition Alliance Donation Form

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The Heart of Georgia Transition Alliance appreciates your donation. Please complete this form with your intent of donation. A member of the Alliance will contact you regarding your donation and provide you with a receipt of donation.

Business Name, Company Name, or Sponsor Name *

Address

Email Address *

Owner/Manager if Applicable

If applicable

Donation Amount

$100.00 donation - Bronze Star Sponsor

$250.00 donation - Silver Star Sponsor

$500.00 donation - Gold Star Sponsor

Other:

Business Needs to Be Invoiced

Yes

Clear selection

Name of Alliance Member Collecting Donation

Other Comments

Submit

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