Become a SponsorBecome a SponsorX/TwitterThis field is for validation purposes and should be left unchanged.Name(Required) First Last Business Name(Required)Billing Address(Required) Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Phone(Required)Cell Phone(Required)Email(Required) Card Number(Required)CVV(Required)Amount(Required)Name on Card(Required)Expiration Date(Required) I am interested in Sponsoring an event and or making a donation to the Hispanic Police Officers Association. By signing and submitting this document, I hereby sign my approval to the HPOA to charge this card in the amount stated above. I understand that this deduction can be made at any time from submitting this paperwork without notice. Please advise all donations are tax deductable.Signature(Required)Date Please Check All That Apply(Required) Scholarship Student $3,000 Scholarship Program $50,000 Picnic $10,000 Ride for Kids $5,000 Summer Camp Raffle $1,000 Florida Pre Paid Raffle $1,000 Domino Tournament $5,000 Turkey Drive $3,000 Christmas Party $5,000 Toy Drive $5,000 Back the Blue $5,000 Donation Amount of your choice (write above)
