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Thank You For Your Support!

Thank You For Your Support!

You have taken the first step in reaching out to your community.  We are thankful for your patronage, and together we can positively affect many individuals.  Please take a few moments to work out the details of your pledge, and we can start rolling with the programs to enhance lives in the community.
Contact Information

Contact Information

First Name*

Last Name*

Company

Address*


City*

State*
Postal Code*

Country*
Email*

Day Phone*

Evening Phone

Specify Support You Are Providing

Specify Support You Are Providing

Choose Sponsorship Level

Choose Sponsorship Level


Recognition of Sponsorship

Recognition of Sponsorship

Please note exactly how you would like your company or organization listed when supported events are promoted.  
If you would like us to use your company logo in these instances, please send a .jpeg or .gif file with the logo to serena@adaptivescubaprograms.org




How Would You Like to Transfer the Pledged Donation?

How Would You Like to Transfer the Pledged Donation?

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Verifier

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