Healing Field Sponsors
Please check below:
_____ Freedom Sponsor ($25,000 or more)
_____ Patriot Sponsor ($10,000 or more)
_____ Liberty Sponsor ($5,000 or more)
_____ All-American Sponsor ($2,500 or more)
_____ Flag Sponsor ($1,000 or more)
_____ Donation of $__________
Name ________________________________________________
Business ______________________________________________
Contact Person _________________________________________
Business Phone _____________ Cell Phone ____________
E-mail ___________________________________________
Address ______________________________________________
Please make checks out to the California/Nevada District Exchange Club Charitable Foundation, Inc. IRC 501(c)(3) and
return this information with your check or money order to:
The Exchange Club of Bakersfield
P.O. Box 305, Bakersfield, CA 93302
