The Ames Foundation Annual Event Registration

Event Registration – Annual Event

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This field is for validation purposes and should be left unchanged.

Name of Sponsor or Donor(Required)

(individual(s) or company/organization as it should appear on materials, website, etc.)

Sponsor/Donor Contact Name(Required)

First Last

(for billing purposes)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Fund Project

(if no designation, donation will go into the general fund)

Are you purchasing a sponsorship package or individual tickets?

Sponsorship Package(Required)

How many people are you registering for? $25/ticket(Required)

Additional Project Donation (optional)

If donating, please enter an amount in whole dollars – $USD.

Are you interested in future Ames Foundation efforts, or volunteering with us?

Please contact me via email regarding future Ames Foundation efforts. I am interested in volunteering my time.

Not able to attend?

I am unable to attend, please accept my donation.

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Total

NOTE: The amount of the contribution that is deductible for federal income tax purposes will be determined by current IRS regulations. Federal Tax ID#51-0161669. Your donation may be tax deductible, check with your tax advisor. You will be emailed a copy of this form, please keep a copy of this form for your records. Contact Event Chair with questions: Julie Kruse- kruse.julie@gmail.com/ 402-350-0387

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