Simply fill out the information below to become a co-op sponsor...

Name:

Street Address:

City: State: Zip:

Phone Number:

Email Address:

 

Sponsorship Level:

Platinum ($100)

Gold ($50)

Silver ($25)

One time donation

 

Preferred payment option:

Check

Credit Card

EFT

 

Your connection to Freedom:

Friend

Family

Neighbor

Parent

Church

 

 

Download PDF brochure