*
Required
First Name
*
required
Last Name
*
required
Email
*
required
Phone
*
required
Street Address
*
required
City
*
required
State
*
required
Zip
*
required
Company or Donor Name
*
required
Please list the name of the company or donor as you would like it to appear in the program.
Upload company or donor logo
Max file size: 10 MB
Are you a current JSerra family?*
Yes
No
Select Sponsorship Level:
Presenting Sponsor - $20,000
Keynote Speaker Sponsor - $20,000
Hall of Fame Sponsor - $15,000
JESPYs Award Sponsor - $10,000
Heavenly Supporter - $5,000
Champion Underwriter - $2,500
TOTAL
Please send a confirmation email to the address below*: