Plant City Chamber Capitol Campaign Donation Form Help Us Build the Future of Plant City Your generous contribution to our Capitol Campaign supports the expansion and modernization of the Plant City Chamber—fueling growth, innovation, and opportunity for our entire business community. First Name Last Name Business/Organization (if applicable) Email Adress * Phone Number * Address Line 1 * Address Line 2 City * State * Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code * Donation Amount * Advocate Sponsor - $5,000 Cultivate Sponsor - $3,000 Elevate Sponsor - $2,000 $1,000 $500 $250 $100 Would you like to make this a recurring gift? * One-time Monthly Semi-Annually Annually Donation Purpose * General Support Building Renovation Technology & Infrastructure Naming Opportunities (we'll contact you!) Recognition Preferences * I would like my donation to remain anonymous. Please list my business name. Please list my personal/family name. List business/personal/family name here: Upload Your Logo (for recognition if applicable) Would you like to receive updates about the Capitol Campaign? Yes, keep me in the loop with occasional updates. Payment Information Credit/Debit Card ACH/Bank Transfer PayPal Mail a check (a Chamber team member will contact you once the form is submitted)
