Building Dedication

Please Select:*

YES! I / we will be attending the Grand Opening ceremony.I / we would like to be a sponsor of the Grand Opening with a contribution of $360.I / we would like to instead contribute ____ amount.
Event Sponsor*

$360
Event Sponsor*

$36$50$180$500$1800$3600$5000
Building Dedication: (optional)

Please reach out to me about building dedication options
__________________________________________________________
Full Name*
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
I am a:
Student Gradating in:
Number of attendees to RSVP / other notes:

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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