L.I.F.E. Sponsorship Form
L.I.F.E. maintains no offices, pays no salaries, and has no budget for advertising. Therefore, 100% of your donation goes where it is needed - directly to our scholarship winners and lupus awareness efforts!

Your tax-deductible donation financially assists students as well as provides them deserved recognition for overcoming the struggles that come with lupus.

On behalf of L.I.F.E. and our scholarship recipients, thank you for your generosity and support!

Date
MM
/
DD
/
YYYY
Your Name
Your answer
If you are donating on behalf of a company or organization, please provide its name
Your answer
Phone Number
Your answer
Email
Your answer
Best method to contact you
Donation Amount (minimum $500)
Your answer
Are you interested in renewing your students scholarship for the following year or in becoming a yearly sponsor of a student?
Please select your sponsorship category:
Would you like your name/organization published with your sponsorship category?
If you are a company/organization, would you like your contact information published (i.e. website, address, phone number)?
Please select where we can publish your name/contact information and sponsorship involvement:
Additional comments and/or questions
Your answer
Thank you for your generosity!

Upon receipt of this form, a L.I.F.E. representative will contact you about your sponsorship and the process to selecting your student(s). For any questions, please contact Bianca Augusto, L.I.F.E. VP at 813-391-0059 or life4lupuscholarship@gmail.com.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service