Sponsor Information Form
Holiday Season 2021
Sponsor Name
*
Organization, Individual, Club, Family, etc.
Point of Contact Name
*
First Name
Last Name
Sponsor Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Have you sponsored a Dwelling Place family in the past?
*
Yes
No
How many families are you interested in sponsoring?
*
1 Family
2 Families
3 Families
4 Families
Other
Max # of people to sponsor
*
Note: Based on cost estimate of $120/person.
Thank you for signing up! We will be in touch once we have assigned families to their sponsors.
Submit
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