Jets Summer Challenge Donation

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Please complete the form below. After completing, you will receive a CONFIRMATION PAGE with detailed instructions regarding payment. Please following these instructions carefully.

If you have any questions, please do not hesitate to contact us at hockeydirector@chicagojetshockey.org

THANK YOU FOR SUPPORTING OUR SUMMER CHALLENGE!

First Name *

Last Name *

Business/Organization Name

Email Address *

Phone Number *

Street Address *

City *

State *

Zip Code *

1. Gift Amount *

A. Cup Champion Donor | $5,000 & above

B. Conference Champion Donor | $1,000 to $4,999

C. Hat Trick Donor | $500 to $999

D. Goal Scorer Donor | $250 to $499

E. Breakaway Donor | $100 to $249

F. Hit The Ice Donor | $99 & below

2. Please enter exact donation dollar amount *

3. How do you plan on paying your donation? Please note: ALL PAYMENTS must be made prior to each raffle by Sunday at 6pm to be included in the raffle drawing *

A. Chase Quick Pay (see confirmation page for instructions)

B. Pay Pal (see confirmation page for instructions)

C. Check (see confirmation page for instructions)

D. Cash (see confirmation page for instructions)

E. Credit Card (see confirmation page for instructions)

4. How would you like your donation recognized on the Chicago Jets website (i.e., The Jones Family, Sam Smith, The XYZ Company, Anonymous) *

5. Does your place of business have a matching gift program? *

Yes (Please consider tripling your donation by applying for a match from your company)

I am not sure, can you please provide me with more information

Other:

6. Were you solicited by a Chicago Jets family? *

Yes

7. If you answered "YES" to Question 6, please provide the family's name in the space provided below

8. Comments

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