Gavin's Got Heart Fundraiser - Sponsor form

Can't make it to the fund raiser, but still want to help? Sponsor a session!!

My super hero is

Special message to the photographer

Phone #

Billing Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

County

Select

Zip Code

Sub Total

$150.00

NYS sales tax

$12.94

TOTAL

$162.94

Payment Method

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