Name *
Name
Address *
Address
Home/Business Phone *
Home/Business Phone
Cell Phone
Cell Phone
Are you renewing a sponsorship?
For Renewals Only
Select the option below to keep your current plaque. If you'd like to change your plaque fill in the inscription below.
Enter the verbiage you'd like to appear on the plaque. All verbiage is subject to approval by our administrative team. Verbiage must be kept to 100 characters or less. A proof will be sent to you for approval.

Payment Options (Plaque will be ordered when payment is received)

  • Online Via PayPal:
  • Send a check to: Sammy’s Hope, PO Box 7281, North Brunswick, NJ 08902