MONTHLY CAREER SPONSORSHIP AND CREDIT CARD/ACH AUTHORIZATION FORM

Sponsorship amount/Amount authorized to charge monthly (please circle one):

$150 $200 $250 $300

Date to be charged monthly: ________________

________________________________________________ __________________________________
Name of Donor (​Please Print​) Phone Number

_______________________________________________________
Email Address

______________________________________________________________________________________
Company Name

______________________________________________________________________________________
Billing Address

Credit Card: ​I authorize the Renand Foundation as a non-for-profit institution to initiate credit card debit entries, and if
necessary, debit entries and adjustments for any credit card. All my deductions will be tax deductible since the Renand
Foundation is a 501(c) 3 non-for-profit organization.

____________________________________________ ____________ _______ _____________

Credit Card Number Type of Card CVV Exp. Date

Bank Account:

____________________________________ _______________________________________________
Routing Number Bank Account Number

_____________________________________________ _______________________________
Signature Date

Renand Foundation
264 SW 6th Ct.
Pompano Beach, FL 33060
Ph: 954-558-8895 Fx: 954-639-5956
https://www.facebook.com/renandfoundation.org/
www.renand.org