Sponsor Christmas

Tree Lighting and Santa Arrival Sponsor
Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
Email
example@example.com
Name as you want it to appear:

Pledge Information *

Santa's Helper $ 250.00

Believer $ 100.00

Basic Sponsor $ 50.00

Donor $ 25.00

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

TO PAY BY CHECK, PLEASE PRINT THIS FORM AND MAIL TO:

Mainspring of Ephrata

16 East Main Street

Ephrata, PA 17522

Make check payable to Mainspring of Ephrata
Should be Empty: