United Way of Marion and Taylor Counties Logo
Sponsorships
Donation Amount
$
Choose your Sponsorship Level
required
Select Option
Ballroom Sponsor- $1000.00
Waltz Sponsor- $500.00
Dirty Dancing Sponsor- $100.00
Would you like to support a specific couple?
required
Select Option
General Sponsorship- No Couple
Frank Sutton / Ashley Knight
Alex Petry / Stephanie Pethel
Joey Garcia / Heather Ayers
Shawn Linger / Donna Trickett
Drew Cameon / Alura Holbert
Contact information
First Name
Last Name
Mobile Number
Email
Company/Organization Name
Payment information
This is a secure 256-bit SSL encrypted payment
Card Number
required
Expiration Date
required
Select a credit card type.
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/
Select a credit card type.
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This field is required.
Expired Credit Card
CVV
required
What is this?
Discover, Mastercard, Visa
3-Digit Card Verification Number
American Express
4-Digit Card Verification Number
OK
Total Amount
SUBMIT
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