Please enable JavaScript in your browser to complete this form.45th Annual Telethon - Sunday, December 3 2023 *Please choose your sponsorship level Gold Sponsor - $1,500 (recognition during two live segments)Silver Sponsor - $1,000 (recognition during one live segment)Bronze Sponsor - $500 (your logo on the Corporate Board)Total Payment Due *Sponsor Information *Contact *FirstLastAddress *City, State, ZipPhone Number *Email *Payment Method *Credit/Debit CardInvoice before eventCheckInvoice after eventsee below for choicesCredit/Debit CardVisaMasterCardDiscoverAmerican ExpressCredit Card InfoPlease provide your credit or debit card number in the space provided. Expiration DateCVV CodeLocated on the back of card.Submit