Parkland Foundation RSVP Form: Creating Impact Celebration
I want to Create Impact with the Parkland College Foundation!
Parkland College Student Union (
map
)
Donor Information:
Company Name (if applicable)
• Name
Last Name
• Email
• Phone
• Address
• City
• State
- INTERNATIONAL ADDRESS -
APO Central Command
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces
Armed Forces Americas
Armed Forces Pacific
British Columbia
California
Canal Zone
Colorado
Connecticut
Delaware
District Of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northern Mariana Islands
Noth West Territories
Nova Soctia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Province of Quebec
Puerto Rico
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
• Zip
• Country
Albania
Algeria
American Samoa
Andorra
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bolivia
Bonaire
Bosnia
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde Islands
Cayman Islands
Central African Rebulic
Chad
Channel Islands
Chile
China, Peoples Rebulic of
Colombia
Congo
Cook Islands
Costa Rica
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Rebulic
Ecuador
Egypt
El Salvador
England
Equitorial Guinea
Eritrea
Estonia
Ethiopia
Faeroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Polynesia
Gabon
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Grench Guiana
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holland
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kodrae
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Leichtenstein
Lesotho
Liberia
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Madeira
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Modova
Monaco
Montserrat
Morocco
Mozambique
Myanmar
Nambia
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norflk Island
Norway
Nothern Ireland
Nothern Mariansa Islands
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Ponape
Portugal
Puerto Rico
Qatar
Republic of Ireland
Republic of Yemen
Reunion
Romania
Rota
Russia
Rwanda
Saba
Saipan
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
South Korea
Spain
Sri Lanka
St. Bathelemy
St. Christopher
St. Croix
St. Eustatius
St. John
St. Kitts & Nevis
St. Lucia
St. Maarten
St. Martin
St. Thomas
St. Vincent & the Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Tinian
Togo
Tonga
Tortola
Trinidad & Tobago
Truk
Tunisia
Turkey
Turks & Caicos Islands
Tuvalu
Uganda
Ukraine
Union Island
United Arab Emirates
United Kingdom
United States
Uruguay
US Virgin Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Gorda
Wake Island
Wales
Wallis & Futuna Islands
Western Samoa
Yap
Yugoslavia
Zaire
Zambia
Zimbabwe
•
Required Fields
Parkland College Creating Impact Celebration Commitment:
I would like to sponsor the event.
Yes
No
President's Sponsor $10,000
Gold Memories Sponsor $5,000
Green Memories Sponsor $3,000
Friends of Parkland Sponsor $1,500
Community Sponsor $500
I would like to purchase individual Creating Impact Celebration tickets.
Yes
No
Tickets
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
(Ticket price: $75 each)
Ticket Subtotal:
$100
Names and emails can also be sent to
foundation@parkland.edu
attendees
I will not be attending the Creating Impact Celebration.
I will not be attending the Creating Impact Celebration, but would like to make a gift to support the Parkland College Foundation.
gift amount
I am an alumni of Parkland College.
Year
Field of Study
I would like to make an additional gift to support the
Creating Impact Fund
.
Gifts of $500 or more are recognized as President's Circle.
I wish for my gift to remain anonymous.
I would like information on planned and estate giving.
Ticket Amount (Qty.
0
):
$0.00
Donation Amount:
$0.00
Gift Amount:
$0.00
Sponsorship Amount:
$0.00
Total Gift:
$0.00
You must purchase a ticket or enter a gift amount.
A problem occurred when trying to process your request. Please check all fields and try again.
I will mail a check to the Parkland Foundation.
I will pay at the event.
My event fees are being paid by another source.
Source:
Give now and you will be directed to our secure financial processing service. If making a gift by check, please mail to the Parkland College Foundation: 2400 West Bradley Avenue, U340, Champaign IL 61821.
Questions?
foundation@parkland.edu
or
(217) 351-2458
or visit
www.parkland.edu/creatingimpact