CHILD SPONSORSHIP FORM
Please Print and Complete
Name_____________________________________________________________________________
Business or Organization____________________________________________________________
Mailing Address____________________________________________________________________
City_______________________________________________________________________________
State_______________________________________________Zip Code_______________________
Telephone (home)________________________Telephone (business)_________________________
Fax________________E-Mail__________________________________________________________
It takes only $10 Per Day to Sponsor a Child
Donor $25 ____
Patron $50 ____
Friend $75 ____
Star $100 ____
Silver $250 ____
Gold $500 ____
Platinum $750 ____
Titanium $1,000 ____
Other ___________
THANK YOU FOR SPONSORING A CHILD
ASK IF YOUR DONATION IS TAX-DEDUCTIBLE
(919) 638-0611
STAR FOUNDATION, Inc. 501C3 Nonprofit
EIN # 65-1175267