Donation/ Sponsorship Form
Miss Georgia Prelim Pageants
Excellence Crowns the Way!!
Donor/ Sponsor Information (please print or type) PAYMENT DUE DATE 12/30/16
Name
Billing address
City, ST Zip Code
Phone 1 | Phone 2
Fax | Email
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ENTRY FEE $200 3-13 or 14-25 $300
Professional Pageant Headshot $150 (for website purpose not needed if already have professional headshot.) Date: TBA
Commercial Shirt $25
Full page Business AD $150
Full page for contestant $150
2 Ticket Sales $35 each
I (we) DONATE/ SPONSOR a total of $__________________for ___________________________ to be paid: ☐now I (we)
plan to make this contribution in the form of: ☐cash ☐check ☐credit card ☐other.
Secure payment can be made on website www.prelimgapageants.comI (we) plan to make this
contribution in the form of: ☐cash ☐check ☐credit card ☐other.
Credit card type | Exp. date
Credit card number
Authorized signature
☐form enclosed☐form will be forwarded TO 1-800-408-1950 (FAX)
_____________________________
Signature(s)
Date
Please make checks, corporate matches,
or other gifts payable to: Prelim Ga Pageants.
Prelim Ga Pageants Company will receive a tax
deductible receipt upon payment.
Prelim GA Pageants
www.prelimgapageants.com
1-8000-408-1950(O)(F)