Sponsorship Program Form
Once submitted, a member from our leadership team will be in contact with you shortly.
Name as you would like to appear in donor listings. *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
How did you hear about Juxtapose Arts Collective?
Your answer
Are you representing a specific dancer for this sponsorship? Please list name below.
Your answer
Yes! I wish to support Juxtapose Arts Collective with a Program Ad Package.
Yes! I wish to support Juxtapose Arts Collective with a Sponsorship Package
Yes! I would like to make a straight donation of the below amount and I confirm that I will not be be receiving any goods or services from this donation in order to receive the fully-tax deductible amount.
Your answer
How would you like to pay?
If paying by card, please enter the following:
Name on Card; Card type (Visa, Discover, etc); Card Number; Exp Date; CVV; Zip Code
Your answer
I will be emailing my employer's matching gift form to danialair73@gmail.com
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service