Vision America Heroes of Faith Gala Registration

First Name*

Last Name*

Email*

Address*

Address Line 2

City*

State*

Postal Code

HOF3

Please select which option you would like to register for

Silver Underwriter $15,000

Chair $10,000

Co-Chair $5,000

Patriot Table Sponsor $2,500

Eagle Couple $1,500

Liberty Church Table $1,500

Friend of Freedom $500

Stars & Stripes Next Generation $500

Total Payment Due:

Complete registration by clicking submit button below. You will then be taken to our donation page. Please make a donation in the amount specified or feel free to call Vision America offices at 936-560-3900 to submit payment over the phone.

Vision America Heroes of Faith Gala Registration

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