Event Sponsorship & Registration Platinum Sponsor Price: $15,000.00 Quantity: Gold Sponsor Price: $10,000.00 Quantity: Silver Sponsor Price: $5,000.00 Quantity: Bronze Sponsor Price: $2,500.00 Quantity: Other Amount Total $0.00 Table Hosting In addition to my sponsorship, I would also like to host a table of 10. Anonymous Gift Yes I would like my sponsorship to remain anonymous and not be shown on the website or any marketing materials. Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Additional CommentsTotal $0.00 Select a Payment OptionCredit CardBy CheckCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Please contact us at 949-487-0219 x. 101 to make a credit card payment over the phone.Please mail checks to: PO Box 1600 San Juan Capistrano, CA 92693 For personal assistance, please contact Lynn at (949) 487-0217 ext. 101 HomeWord is a nonprofit 501(c)(3) organization.