Annual Sponsorship Packages

Name*
First Last
Company Name
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Newsletter Preferences
- Yes, please subscribe me to your email list so I can stay up-to-date on the latest breast health news and Maurer Foundation programs and events.
What Social Media Accounts or Websites Should We Link To or Tag?
- Facebook
- Twitter
- Instagram
- My Website
- Other
Company Website*
Other URL*
Company Logo
Accepted file types: jpg, eps, pdf, tif, Max. file size: 100 MB.
PDF, EPS or high resolution JPG / TIF files only.

I would like to pay by*
- Check
- Credit Card
Please make your check payable to The Maurer Foundation and mail to 290 Broadhollow Road, Suite 401E, Melville, New York 11747, ATTENTION: Debbie Goldman.
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Please consider chipping in an additional 3% to cover our credit card processing fees.
Donation Option
- Yes, please add an additional 3%
3% Donation
Price: $0.00
Total
$0.00
Name
This field is for validation purposes and should be left unchanged.

Support Breast Health Education in Your Community While Increasing Brand Awareness