Premiere Screening Event of 'Holding Still' - Sponsorship Donation To view this form, please enable JavaScript in your browser. Holding Still Wednesday, October 20, 2021 7:30pm ET/4:30pm PT Presented by Prison Contemplative Fellowship (PCF) and Catholic Prison Ministry Coalition (CPMC). Your sponsorship donation of $5,000, $2,500, or $1,000 advances the missions of PCF and CPMC to recruit, train, support and empower those called to ministry. You will be contacted by a CPMC team member to verify how you or your organization would like your contribution to be recognized or listed during the event and on the CPMC website. Sponsorships will be equally shared between PCF and CPMC and matched dollar for dollar by a generous benefactor. If you have any questions please contact CPMC at: info@catholicprisonministries.org. Prefix First Name MI Last Name Suffix Donation Amount (numbers only no symbols) Address 1 Address 2 City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Country Email Phone Gift is Anonymous NoYes Payment Type Credit Card I will send a check If paying by check, please leave the credit card fields below blank and click Submit. Make your check payable to the NACC and send it to NACC, 4915 S. Howell Avenue, Suite 501, Milwaukee, WI 53207. Please note "CPMC Event Sponsor" on the check. Thank you! Credit Card Information Credit Card Type MastercardVisaDiscoverAmex Credit Card Number Name on Card Security Code Valid Through 01 02 03 04 05 06 07 08 09 10 11 12 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Billing Address Billing City Billing State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Billing Zip Billing Phone Credit Card Email Address Please click submit only one time. The transaction may take several seconds.