5K for Health Sponsorships *Cass Community Health Foundation

Sponsorship (Required)

Individual or Company (Required)

Please type name as it should be listed in marketing materials and signage.

Company Contact

First Name

Last Name

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Email (Required)

Phone (Required)

Create my team by adding the following number of 5K registrations at $40 per person.

Registration fee(s) will be added to your total invoice. You will receive a link to register and select your t-shirt size.

Sponsors at the $500 level and above receive a complimentary t-shirt. Please select your size.

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Would you like a complimentary booth at the 5K Health Fair? (Required)

I would like to donate the following raffle prize(s):

The drawing will be Saturday, May 3, 2025 Please date certificates accordingly.

Payment Option

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Cover the fee associated with this online transaction?

Sure, I will pay an additional {transaction_fee} so my entire donation creates smiles for children in Cass County!

Cover the fee associated with this online transaction?

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged