52% Total Raised $24,062.83 Goal $46,500 Benedict College “Forty Under 40” Sponsorship Form Name(Required) First Last Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required) Enter Email Confirm Email Phone(Required)Which "Forty Under 40" Honoree are your sponsoring?(Required)Marquette Banks '11Tanisha Boyd '11Jocolby Brown '16Quatillia Byrd '12Dr. Carter Clinton '12Gabriel Collier '10Dr. Chemir Conyers '10Dr. Quintavis Cureton '14Kalema Grant '12Daronayja Hamilton '17Annastacia Hammond '22Kimberly Harris '11Norman Hart '11Dr. Derrick Hearn '15Shanna Hook '11Leilani Irvin '12Nykia Johnson '12Brittany Kelly '11Marcellas Knight '12Patrice Lamar-Bey '14Destiny Laurie '16Cedrik Love '17D'Wayne Mathis '17Von Moore '10Sonalis Muhammad '23Robert Squirewell '15Dr. Tyrome Sweet '12Dajonay Taylor '15Morgan Taylor-McFadden '11Ayanna Walthall Murphy, Esq. '16Dr. Brandon Wright '12Choose your Sponsorship LevelVisionary Sponsor QuantitySorry, there are no more of this item.Event Engagement One (1) reserved table of 10 at the “Forty Under 40” Brunch Podium recognition Signage on the wide screen • Program & Print Full-page advertisement Program listing • Digital Recognition Logo placement (“Forty Under 40” website)Trailblazer Sponsor QuantitySorry, there are no more of this item.Event Engagement One-half reserved table of 5 at the “Forty Under 40” brunch Podium recognition Signage on the wide screen • Program & Print Half-page advertisement Program listing • Digital Recognition Listing (“Forty Under 40” website)Innovator Sponsor QuantitySorry, there are no more of this item.Event Engagement Two (2) reserved seats at the “Forty Under 40” brunch Podium recognition Signage on the wide screen • Program & Print Quarter-page advertisement Program listing • Digital Recognition Listing (“Forty Under 40” website)Community Leader Sponsor QuantitySorry, there are no more of this item.Event Engagement Two (2) reserved tickets at the “Forty Under 40” brunch • Program & Print Program listing • Digital Recognition Listing (“Forty Under 40” webpage)Give a DonationDonation Amount Purchase TicketsIndividual Tickets QuantitySorry, there are no more of this item.Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name
