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Sponsor Request Form

Sponsor Name:	*
Mailing Address:
Email:	*
Company URL:
Select Your Sponsor Level
Sponsor Level:	*	Freshman - $100 Sophomore - $250 Junior - $500 Senior - $750
Payment:	*	I will pay online using payment form in the right column Please send me invoice I will mail my sponsorship to EYDFS I would like to donate product instead.
Security Code:		Enter the code shown above in the box below

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Make checks Payable to: Eastern York Dollars for Scholars P O Box 95 Wrightsville, PA 17368

Sponsor Payment

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Click Add to Cart to enter your payment electronically.
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Sponsorship

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