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Online registration for the sponsorship list is no longer available, however, you may sign up at the 5K event starting at 8am on Saturday, April 13 at Franklin Park in Purcellville, VA

* First Name:
* Last Name:
* Name of business or organization (if individual, indicate N/A):
Contact name (if different from donor name):
* Email Address:
Contact phone number:
* Street Address:
* City:
* State:
* Zip:
* Donation amount (runner sponsorships should reflect registration amounts): $
* Do you want your donation to sponsor a runner?
If yes, name(s) of runner(s) being sponsored (Sponsored runners are also required to register separately):

PHC Alumni are offering three levels of sponsorship to businesses who donate $250 or more. Bronze level ($250) includes publishing of your business name and/or logo in our monthly newsletter; Silver level ($500) includes placing your business name and/or logo on our race T-shirts (order deadline of April 7); and Gold ($750) includes placing your business name and/or logo on our race-day banner.
Would you like to participate in one of these levels, and receive more information about advertising or promotion or other ways you can help with the event?

Patrick Henry College Alumni Association is a subsidiary of Patrick Henry College. All donations are tax-deductible through Patrick Henry College and will be used according to Patrick Henry College's exempt purposes, including but not limited to the exempt causes of the race partners.
* Would you prefer to pay by check?

If so, make the check out to "Patrick Henry College," place "2014 Alumni Race for Justice 5K" in the memo line, and send to: Patrick Henry College, Attn: Finance/Development, 10 Patrick Henry Circle, Purcellville, VA, 20132.

If you would prefer to pay via credit or debit card, you will be redirected to a secure payment page after submitting this form.

* required