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SPONSORSHIP FORM

Please complete the form below and complete payment to Project Pink’d, Inc.

You may also print this form and mail with check to: 
Project Pink'd, Inc. 4089 S. 84th St. #108 Omaha, NE 68127 

Sponsorship Level

SPONSOR CONTACT INFORMATION

(as you would like it published)
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ADVERTISING CONTACT INFORMATION

PAYMENT INFORMATION

If no payment form is displayed, please select the sponsorship level above or select "Other" and complete amount.

Payment Option
Prefer to send a check and save online payment fees? You may send your donation to: Project Pink’d 4089 S. 84th Street, #108 Omaha, NE 68127
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Credit Card Information
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Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

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