SPONSORSHIP FORM

Sponsor Name:
Sponsorship Level:
Golden Retriever Sponsor ($5,000 minimum)
Labrador Retriever Sponsor ($2,000 minimum)
Chesapeake Bay Retriever Sponsor ($1,000 minimum)
Curly Coated Retriever Sponsor ($500 minimum)
Puppy Sponsor ($200 to $100 minimum)
Address:
City/State/Zip:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Website URL:
Contact Name:
Contact Title:
Contact Phone #:
Contact Fax #:
Contact Email:

 

Please make your check payable to Vista Center and mail it with this completed form to:
413 Laurel Street, Santa Cruz, CA 95060-4904.

Vista Center is a 501(c)(3) non-profit organization
and a member of the Santa Cruz County Human Care Alliance.

Thank you for becoming a Vista Center Community Partner!