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Sponsoring Lights for the Pink Light District

Troubles? Questions? Please call as at (480) 860-4200
or email us at
ATTENTION, Internet Explorer Users!
Are you unable to see the light-sponsorship form above?
IE 10 has known display issues that are resolved using "Compatibility Mode."
CLICK HERE to visit Microsoft's site and get
instructions on how to fix the problem.
It's as easy as 1, 2, 3!

We can process Visa, Mastercard, American Express and Discover cards for your sponsorship.

When you click the "Let's Get Started" button, you'll be presented with 3 simple steps:

Step One: Tell us about all the people you wish to honor with lights. You can make up to 10 tributes at a time - if you wish to make more tributes than 10, you'll need to go through the steps again. Each tribute can be in either your name, made anonymously, in honor or in memory of someone else. When you want to add more lights and another tribute, simply click the "Add More Lights!" button.

Step Two: Tell us your billing name, email address and how you'd like to have the Tribute Cards appear. The billing name must be what appears on your credit card, but you can sign a tribute from "Your friends, Bob and Judy" or however you'd like it to appear. If you don't put anything in that field, we'll use your name from the billing information as your signature in the Tribute Card.

Step Three: Billing Information - here's where we'll need your credit card and billing address.

Lastly, we'll give you a chance to look your entire sponsorship over and make sure it looks the way you want it to before we charge your credit card.
Step 1
Tell us about all the lights you wish to sponsor.

I would like: 
 light[s] at $25 each
Lights are to be:  
Honoree First & Last Name: 
Tribute Card EMail Address: 
Please leave this email field blank if you wish to have
the Tribute Card sent to you instead.
Step 2
Tell us about you and your Tribute Cards

BILLING First & Last Name: 
Your EMail Address: 
Your name[s], as you'd like  
us to print it on your Tribute Cards  
(None will be sent for Anonymous lights): 

  If you leave this field blank, then your name
as it appears for billing fields, above, will be used.

If you would like your name to appear
differently on different sponsorships, you'll need to
create a new record for each one.
Step 3
Collecting billing information.

Your Billing Address: 
City, ST Zip:  ,
Telephone Number:  () -
Credit Card Number: 
Credit Card Expiration: 
Security Code: 
Final Confirmation
Please verify that everything is correct before we charge your card.

Sponsored Tributes: 
Tribute Card "From": 
Billing Information:   
EMail Address: 
Expiring:  /
Security Code: 
Please click either the "Edit My Information" button to go back and edit
anything about your sponsorship, or click the "Charge My Credit Card"
button to complete your transaction.

Please hold on while we attempt to charge your credit card.

PLEASE DO NOT click the "back" button or anything else
on your browser while we perform this operation, so as to avoid
any possibility of your credit card being charged twice.

This may take up to 60 seconds.
From all of us at the Arizona Institute for Breast Health,
thank you so very much for your support and donation.

You will be receiving an email with your receipt shortly.
If you do not receive your receipt within 5 minutes, please
contact us immediately so that we can make sure you get it.

Once again, thank you for your support!

For information about contacting us, CLICK HERE.

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