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Rainbow Village Properties

Secure Payment Form

      
For questions on completing this form, please contact Tamara at tblanke@rbvstl.org or 314-657-1522 x211.
Sponsorship Level

Adopt-A-Home Sponsor - $25,000 | Title Sponsor - $20,000 | Presenting Sponsor - $15,000 | Platinum Sponsor - $10,000 | Gold Sponsor - $5,000 | Silver Sponsor - $2,500 | Table - $1,500 | Bronze Sponsor - $1,000 | Individual Ticket - $150 | Not Attending - Donation Only

Contribution Amount

Enter total corresponding to sponsorship level or number of tickets. See below list for amounts.

Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Please indicate who should receive the tax receipt for this donation.
Company Name
First & Last Name
Address
City
State
Zip
Phone Number
Email Address
Please list your guests' first and last names, up to 10 attendees per table, or email tblanke@rbvstl.org with further details.
Lead Table Contact
Guest 1
Guest 2
Guest 3
Guest 4
Guest 5
Guest 6
Guest 7
Guest 8
Guest 9