STEADFAST LEADERS INC.
Board of Directors
WELCOME! Sponsors & Members
DISCOUNT PURCHASE & CLAIMS VERIFICATION FORM
DISCOUNT (P.C.V.) FORM *START HERE
Indicates required field
1- Current Status
PLATINUM - Sponsor
GOLD - Sponsor
2- Write Your Discount Code
3- MD-CODE Owner's Name (if apply)
4- (SD-CODE) Contact Person's Name (if apply)
5- (SD-CODE) Write Your Church Name
Do Not Abbreviate the Church Name!
6- Mailing Address (as apply)
7. If apply) Name of Person that will collect your Tickets/Items (IF) different from the GCP
Mandatory: One (1) person only should be designated to to *Pick-up/Collect your Tickets/other Items (if any)
7a. Email Address
8- Cell Ph #
9- Are you (entitled) to claim FREE Items ?
10-Choose One or More Items (as you require)
YOUTH (4-12 yrs) ........$50.......U-pay = $35
VIP Youth (4-12 yrs) ...$80........ U-Pay = $56
TEENS (13-17 yrs)........$90........U-Pay = $63
VIP-TEENS (13-17 yrs) $120......U-Pay = $84
ADULT (18+) yrs...........$150......U-Pay = $105
VIP -Adult (18+) yrs..... $250......U-Pay = $175
Reserved table for (6) $1,100.....U-Pay = $875
Reserved table for (8) $1,400.....U-Pay = $1,085
Claim (1) Free Reserved Table (only) (if apply)
Claim (1) FREE Reserved Parking (if apply)
11. How many VIP Services are you claiming? (if any)
11a- Tell us Exactly what FREE (VIP Service Item/s) you which to claim (If any)
NOT claiming Free Items, Write #NONE
12- (Be specific) How many (of each) PAID-ITEMS do you require? (If any)
13- How will you Receive your tickets etc.?
* PAID Tickets by Postal Mail
* PAID Tickets @ Welcome Desk
* FREE Tickets @ Welcome Desk
* PAID & FREE Tickets @ Welcome Desk
Submit & Continue
Our income goes back into the operation of Steadfast Leaders Inc. to benefit the recipients of our services.
Sponsors & Members We appreciate your support, but you have the right to unsubscribe @ anytime.
1 Cor. 15: 58 * Be steadfast, unmovable always abounding in the work of the Lord, for as much as you know that your labor is not in vain.
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