2026 Penny Campaign Sponsor Registration - Samaritan Ministries

2026 Event Sponsorship Registration

Contact person*

First Last

Organization Name if Applicable

Email*

Phone

Address

Street Address Address Line 2 City State ZIP Code

Penny Campaign Sponsorship Tier

Additional Donation

Select a payment option:*

Email me an invoice.
No invoice needed. I'll mail a check to Samaritan Ministries, 414 E. Northwest Blvd., Winston-Salem NC 27105.
No invoice needed. I'll pay online at samaritanforsyth.org/donate.

Should the sponsor name or logo be listed on event materials?*

Sponsor name, as it should appear on event materials:

Logo(s) for inclusion on event materials:

Drop files here or

Max. file size: 100 MB, Max. files: 5.

Would you like to attend Penny Campaign Collection Day?*

A staff member will follow up with you for guest information as needed.

Comments or questions:

CAPTCHA