21st Annual Heroes Gala Check/DAF Commitment Form For gifts made by check or Donor Advised Fund (DAF). Thank you for supporting the Friendship Circle Heroes Gala. Your partnership helps create friendship, belonging, and opportunity for children, teens, and young adults with special needs. If you would like to complete your sponsorship, journal ad, or donation using a Donor Advised Fund (DAF) or check, please submit the information below. Please note: Payments cannot be processed directly through this page. This form allows us to record your commitment and follow up with payment instructions. Type of Support: Please select how you would like to participate. SponsorshipJournal AdDonation Sponsorship Sponsorship Details HERE For sponsorship with tickets, please email [email protected] for more details. For sponsorship without tickets, please proceed. Sponsorship Amount: Sponsorship details can be viewed at the link above $50000$36000$20000$10000$5000$3600$1800$1000 Company Logo: Journal-Ad Journal-Ad Details HERE Journal-Ad: Full Page Half Page Quarter Page One Line How would you like to submit your journal ad? I will upload a finished adPlease create the ad using the message below Journal Ad Message: Upload Journal Ad (Optional) Donation Donation: Support the 21st Annual Heroes Gala and help expand the circle of friendship, belonging, and continuous impact in our community! $5000$3600$1800$1000$500$360$180$100$50 Total $0.00 Payment Method: CheckDonor Advised Fund (DAF)Invoice Payment Instructions If you selected Check or Donor Advised Fund (DAF), please use the following information when completing your gift. Organization Name: Friendship Circle of Washington Tax ID (EIN): 91-2173196 Mailing Address: 2737 77th Ave SE Mercer Island, WA 98040 Check Instructions: Please make checks payable to: Friendship Circle of Washington Memo: Heroes Gala Sponsor / Donor Information Sponsor / Donor Name: (As you would like it to appear in Gala materials) Full Name Contact filling out form or best contact for communication First Name Last Name E-mail Phone Number Address Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Thank you for your commitment to the Friendship Circle Heroes Gala. After submitting this form, our team will follow up shortly with instructions to complete your gift. If you have any questions or need assistance, please feel free to reach out to Chaya at [email protected] or 206-769-5242. Submit Should be Empty: This page uses TLS encryption to keep your data secure.