Champions for Children's Corporate Sponsorship Pledge Form Champions for Children’s Corporate Sponsorship Pledge Form Thank you for your interest in sponsoring Champions for Children’s on Tuesday, December 1. For more information, please contact Hillary.Muntz@chtrust.org. Company Contact Name: Field Is Required First Field Is Required Last Email: Field Is Required Email: Primary Phone Number: Field Is Required Primary Phone Number: If you respond and have not already registered, you will receive periodic updates and communications from Boston Children's Hospital. Yes, I would like to receive postal mail from Boston Children's Hospital Keep me logged in. What's this? Remembers your login information for your convenience. Use only on trusted, private computers. Privacy Policy Company Information Field Is Required Company Name Field Is Required Business Address Line 1 Business Address Line 2 Field Is Required City Field Is Required State Please select response AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Field Is Required Zip Code: Field Is Required Please select one: will attend and accept all associated benefits will NOT attend or use any seats at the dinner, but would like sponsorship recognition will not sponsor, but wish to make a donation Field Is Required Select Amount Please select response Ring of Champions (20 tix) $250,000 ($242,000 is tax-deductible) Platinum (16 tix) $100,000 ($93,600 is tax-deductible) Gold (8 tix) $50,000 ($46,800 is tax-deductible) Silver (8 tix) $25,000 ($21,800 is tax-deductible) Bronze (5 tix) $12,500 ($10,500 is tax-deductible) Field Is Required Preferred Payment Method Pay now by Credit Card Pay by Check or other payment method (within 60 days) Field Is Required Authorization I am authorized to commit my company to sponsor and pay for our sponsorship of Champions for Children's Spam Control Text: Please leave this field empty
