2026 Big Night Out: Bingo Night Sponsorship and Basket Frenzy Registration

2026 JWL Big Night Out: Bingo Night Sponsorship & Basket Frenzy Registration Form

Please fill in the required information below. Contact jwlsmithfield@gmail.com with any questions. Thank you for your generous contribution and support of the Junior Women's League of Smithfield's event and initiatives throughout Johnston County. *Please note that the deadline to receive full sponsor benefits and submit basket frenzy donations is March 11, 2026.*
I would like to register for (select all that apply):*

sponsorshipbasket frenzy donation
Company/Organization Name*
Contact Name*

First NameLast Name
Email*
Cell Phone*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Basket Frenzy Information

Please fill out this form for each basket frenzy item donated. All information is required. Items will not be accepted without a form filled out.
Items may be mailed to:
JWL Smithfield
PO Box 2596
Smithfield, NC 27577

To arrange pick-up, please email jwlsmithfield@gmail.com.
Item Being Donated:*
Donation Value:*
Expiration Date of Item Being Donated (if not applicable, please note N/A)*
Special Instructions/Restrictions (ex. location restrictions, date/time restrictions, etc.)*
Name of JWL member who solicited your basket frenzy donation (if applicable)*
Sponsorship Information
Payment to be made*

Online - Please note that the credit card processing fee will be added to your total.CheckPlease invoice me
Please send your check to:
JWL Smithfield
PO Box 2596
Smithfield, NC 27577
Name of JWL member who solicited your sponsorship (if applicable)*
Sponsorship Level*

Bingo Champion: $2,500Full Card Fanatic: $1,000Dauber Dynamo: $750Bingo Boss: $500Free Space Friend: $300Bingo Buddy: $100
Please upload a high-resolution copy of your logo here or email it to jwlsmithfield@gmail.com

File types accepted: jpg, jpeg, png
Cancelof
Total:
Payment Total:*

prevnext( X )
USD

Should be Empty:

2026 JWL Big Night Out: Bingo Night Sponsorship & Basket Frenzy Registration Form

Basket Frenzy Information

Sponsorship Information