Become a Sponsor

By completing the form below, the DSA of NWI and Chicagoland will add you to our list of sponsors for the 2017 Buddy Walk.  You will receive all perks outlined below.  Download our sponsorship package here.  

In order to have your logo on the Buddy Walk t-shirt, we must have your logo on or before August 25th.  

Have a question?  Email us at buddywalk@dsaofnwi.org

Contact Information

The requested information in this section is pertaining to the person completing this form.

*REQUIRED
*REQUIRED
*REQUIRED
Company/Organization Information
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
Contribution
*REQUIRED
Please choose your sponsorship level. For information on the perks included with each level, please see descriptions above.
Additional Information

Note: This form is NOT in anyway an official registration for DSA of NWI's Buddy Walk.

*REQUIRED
*REQUIRED
Visa MasterCard American Express Discover
*REQUIRED
/
*REQUIRED
? Visa®, Mastercard®, and 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.
*REQUIRED
Close