Champions for Children's Corporate Sponsorship Sign Up (DGDDEV) Champions For Children Thank you for your interest in sponsoring Champions for Children’s on Tuesday, December 2. 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 Field Is Required Authorization Please make 1 selection from the choices below. I am authorized to commit my company to sponsor and pay for our sponsorship of Champions for Children's Company Information Field Is Required Company Name Field Is Required Business Address Line 1 (Maximum response 255 chars, approx. 5 rows of text) Business Address Line 2 (Maximum response 255 chars, approx. 5 rows of text) 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: Who at your company should receive the invoice? Name: Email: Field Is Required Preferred Payment Method Pay now by Credit Card Pay by Check or other payment method (within 60 days) Field Is Required Fee Amount Please select response Ring of Champions (20 tix) $250,000 ($243,000 is tax-deductible) Platinum (16 tix) $100,000 ($94,400 is tax-deductible) Gold (8 tix) $50,000 ($47,200 is tax-deductible) Silver (8 tix) $25,000 ($22,200 is tax-deductible) Bronze (5 tix) $12,500 ($10,750 is tax-deductible) Spam Control Text: Please leave this field empty
