Become a Platinum Sponsor Online

Please complete the form to become a Platinum Sponsor ($5,000+).

You can pay online via credit card. To pay via check use this form.

* denotes a required field.

Organization Members

Please list who should receive the 10 organization memberships included with this sponsorship.

For each member, include First Name, Last Name, Phone Number, and Email Address.

Payment Information

Product Quantity Price Subtotal

Platinum Sponsor:

$

Price:

Subtotal:

($5,000+)

Scholarship Fund Donation:

$

Price:

Subtotal:

Make a one-time donation to our scholarship fund for students attending accredited post-secondary institutions in Iowa

Total Amount Due:

Billing Information