2024 Online Banquet Sponsorship Form Please enable JavaScript in your browser to complete this form.Sponsorship Name: (As you would like it to appear when recognized) *Sponsorship Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSponsor Contact Person: *FirstLastSponsor Phone Number: *Sponsor Email *Sponsor Level *Elite-$10,000 or aboveDiamond-$5,000Platinum-$2,500Gold-$1,000Silver-$500Bronze-$250Angel-Your choiceFor each level’s perks, please refer to the section above.Contribution Amount: *How would you like to make your contribution? *CheckCashDebit/Credit/PayPalPlease make all checks out to Gilmer CLC | P.O. Box 471| Ellijay, GA 30540. Would you like to RSVP to the CLC Banquet? *YesNoNumber Attending: *Total Amount of Contribution$0.00Submit Sponsorship Form