PATRICK LEE GIPSON 4 ASSEMBLY 2024

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2024 08 17 Santa Clarita

Saturday, August 17 2024

  • Gold Sponsor

    $2500

  • Silver Sponsor

    $1000

  • Bronze Sponsor

    $500

  • Per Couple

    $250

  • Per Person

    $150

Total:
$0.00
  • $5500

  • $500

  • $100

  • $50

  • $25

  • $10

2 Personal Information

First Contributor
Joint Address
First Contributor

If you are retired, please put: Occupation: Retired, EmployerNone

If you are unemployed,  please put: Occupation: Unemployed, Employer: None

If you are a stay-at-home parent,  please put: Occupation: Stay-at-home parent, Employer: None

If you are self-employed or an independent contractor and do business under your first and last name, please put: Occupation: <describe your business>, Employer: First and Last Name

 If you are self-employed and do business under a business name, please put: Occupation: <describe your business, i.e., "photographer">, Employer: The name that people put on checks to your business, i.e., "Jake's Discount Photography"

If you are employed by a company, please put Occupation: <describe your job title, i.e., "Director of Sales">, Employer: <the name of your employer>.

3 Payment Method

Credit Card Icon

CVC on Visa/MasterCard/Discover is a 3 digit code on the back of the card. CVC on AMEX is a 4 digit code on the front of the card.

4 Event Details

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