Sponsorship Form Company Name*Contact Person 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* Sponsorship LevelsPlease choose your level of Sponsorship.Sponsorship LevelsStar 3500Platinum 2500Gold 1000Silver 500Bronze 250Star Sponsor BenefitsReceive everything listed under Platinum Sponsor plus: DINNER: 2 Tickets to a Private Dinner with Jimmy Wayne, award-winning recording artist, speaker & best-selling author; Dinner is Thursday, April 25. SHOW: Name Displayed at Jimmy Wayne LIVE, ‘An Evening for the Community’ on Friday, April 26. BOOK: An autographed copy of Jimmy Wayne’s New York Times Best Seller Walk to BeautifulPlatinum Sponsor BenefitsName on Stage & Registration Banner Your Business/Organization Link on Tara Hall Website Name Displayed at Launch Site Name Announced over PA System 4 - Kayak Paddle Trips** 4 - Gate Tickets 4 - T-Shirts . Gold Sponsor BenefitsName on Stage & Registration Banner Your Business/Organization Link on Tara Hall Website Name Displayed at Launch Site Name Announced over PA System 2 - Kayak Paddle Trips** 2 - Gate Tickets 2 - T-Shirts Silver Sponsor BenefitsName on Stage Banner Your Business/Organization Link on Tara Hall Website Name Announced over PA System 2 - Gate Tickets 2 - T-Shirts Bronze Sponsor BenefitsName on Stage Banner Your Business/Organization Link on Tara Hall Website Name Announced over PA System 1 - Gate Ticket 1 - T-Shirt Total $0.00 Payment Method*Credit Card via PaypalPaypal AccountMail In PaymentMail In PaymentPlease make check or money order payable to Tara Hall and mail to: Tara Hall Home for Boys P.O. Box 955 Georgetown, SC 29440UntitledFirst ChoiceSecond ChoiceThird Choice This iframe contains the logic required to handle Ajax powered Gravity Forms.