Donor Information Form

Your Name

First NameLast Name

Business Name (if applicable)

Business Street address:

City

State:

Zip code:

E-mail address:

example@example.com

Phone:

How would you like to contribute to the Banquet?

I would like to become a table sponsorI would like to donate an auction itemI would like to make a one-time donation to help cover the costs of the banquetI am thinking of something elseI would like to attend (FREE)

Would you like to fill your table with guests? If not, we are happy to fill your table with guests who have RSVPd. Note: all guests attend for free

YesNoYes, but I'd only like to fill a portion of the table

Number of Attendees

Name of all attendees (please skip this question if you already answered it because you are sponsoring a table)

Dietary Restrictions

What are the full names of the guests you would like to include at your table? Please include any dietary restrictions.

Please describe your auction item donation, along with the monetary value (estimation if item is homemade):

Auction items can be dropped off at Alpha during our open hours (Tues 2-5, Wed 10-2, Thur 5-8). If this is not convenient for you, we would be happy to come to you! What are good days and times for us to come to your business or residence?

Please describe how you would like to contribute to the banquet:

Please use the following name(s) in all acknowledgments:

**Please note that we are a 501(c)3 nonprofit organization and your donations are tax deductible

Your Donation Amount

USD$250 for table sponsorship

How would you like to make your donation?

Drop cash or check off at AlphaPay online now

Note: if you are not making a monetary donation, please ignore the "payment methods" section.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Donor Registration