Sponsorship | The Dominion Guild

* Indicates required field

Sponsor Name (As you wish it to appear in print) *

Sponsor Website

Sponsor Logo

Payment Method *

I will pay online using credit/debit card.

I will mail a check payable to the Dominion Guild. Send check to Diane Wiley, 4108 N. Randolph Ct., Arlington, VA 22207.

I will pay online via Venmo, our Venmo username is @Dominion-Guild.

Sponsorship Level -- pay online *

The Virginian ($5,000)

The Old Dominion ($2,500)

The Dogwood ($1,500)

The Commonwealth ($1,000)

The Cardinal ($500)

Friend ($250)

I am unable to be a Sponsor this year, but would like to make a tax-deductible donation in the amount of (specify below)

Tax-deductible donation *

Sponsorship Level -- pay offline *

The Virginian ($5,000)

The Old Dominion ($2,500)

The Dogwood ($1,500)

The Commonwealth ($1,000)

The Cardinal ($500)

Friend ($250)

I am unable to be a Sponsor this year, but would like to make a tax-deductible donation in the amount of (specify below)

Tax-deductible donation amount *

Anonymous Gift: This gift is to remain anonymous and will not be listed in printed materials. *

Yes

Ticket Use *

I will be using the allotted tickets.

I will not be using any allotted tickets and would like to donate to grant recipients.

I will not be using any allotted tickets and would prefer for the full sponsorship amount to be tax donation.

Is this sponsorship on behalf of an organization? * Yes No
Organization Name *
First Name *	Last Name *
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We accept the following cards
Name on Card *	Card Number *
Expiration Date *	Security Code(CVV) * ?

Use same address as Contact Information
Billing Address *
Country *
City *	State/Province *	Zip/Postal *

Would you like to cover the transaction processing fee? Every bit helps our organization. *

Yes No

Your Payment:

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Total Payment:

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