Sponsorship Form (direct payment) - Inclusive Publishing

Sponsorship Direct Payment

This form is for organizations or individuals to support DAISY Inclusive Publishing developments and activities through a direct card payment. We have an alternative form for organizations paying my invoice.

Name(Required)

First Last (Family)

Organization Name (if relevant)

Invoice Reference:

Your organizational invoice reference number if required

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Value (USD)(Required)

Please enter your sponsorship payment value, minimum payment is $20 USD.

Would you like your support to be recognized?

Check the box below for you or your organization to be listed on our supporter page for 12 months from the date of your payment.

Yes – please add my name to the supporter page

Payment Card(Required)

Our secure payment gateway is provided by Stripe, DAISY does not process or store your payment information.

Card Details

Cardholder Name

Sponsorship Direct Payment

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