Donate to Hampton Roads Leadership Prayer Breakfast!

http://www.LeadershipPrayer.com

Thank you for your participation in the Hampton Roads Leadership Prayer Breakfast. Please select the suggested donation you wish to contribute and make plans to attend!

Contribution Amount

$26.12 - One Seat Suggested Donation
$52.25 - Two Seats Suggested Donation
$261.25 - One Table (10 seats) Suggested Donation
$1,045.00 - Bronze Sponsor - Includes 1 Table
$2,612.50 - Silver Sponsor - Includes 2 Tables
$5,225.00 - Gold Sponsor - Includes 3 Tables

Personal Information

First NameRequired
Last NameRequired
EmailRequired
Home AddressRequired
Home Address (line 2)
CityRequired
StateRequired
Zip/PostalRequired
Phone NumberRequired

Payment Information

Debit/Credit Card

Billing Information

Same as home address.
Billing Address
Billing Address (line 2)
City
State
Zip/Postal

Give this donation as a gift!

Gift Recipient's Name:

Gift Recipient's Email:

Personal Message:

Give this donation as a gift! It's simple, enter the gift recipient's name, email and a personal message, and we'll email the gift recipient about your generous gift!

I want to publish my name to the Donate to Hampton Roads Leadership Prayer Breakfast! giving stream! (Note: your contribution amount will not be shown)

Your donation will appear on your credit card or bank statement as "RALLY/PIRYX"

Amount:

By clicking submit you agree to our refund policy in our terms of service.

This form is secured using 256-bit SSL encryption.

Piryx - The Social Giving Platform

Now fundraising is as easy as writing a blog or posting a status update and can be integrated into your website, product or mobile app. With Piryx, causes raise money online in more volume and much more effectively across the web. To learn more and create your own free account visit Piryx.com.