KHEIR CLINIC | Sponsorship Sign Up

Organization Name *

Primary Contact *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Same as Billing Adress

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Sponsorship Level *

Presenting Sponsor - $ 50,000.00
Diamond Sponsor - $ 30,000.00
Platinum Sponsor - $ 20,000.00
Gold Sponsor - $ 15,000.00
Silver Sponsor - $ 10,000.00
Bronze Sponsor - $ 5,000.00
Community Sponsor (Non-Profit Organizations Only) - $ 3,000.00

Total Amount

$ 0.00

Comment or Message

Kheir Clinic is a 501(c)(3) non-profit organization. Your contribution is tax-deductible to the extent allowed by law. Our Federal Tax ID Number is 95-4074660. Thank you for your support!