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Okeechobee Main Street Partnership Online Application

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Name *

First

Last

Company

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Website / URL

Square Partnership –

Are you interested in? Check all that apply *

• Board Member
• Volunteering
• Sponsoring Events (not overall; overall sponsors are included in Partnership packages)
• Only Want to Invest as a Partner (only choose if not interested in anything else)

Choose Partnership – Includes Processing Fee *

• Friend – $52.00
• Family – $78.00
• Non-Profit Organization – $52.00
• Small Business (less than 10 employees) – $156.00
• Medium Business (11-50 Employees) – $260.00
• Large Business (51 or more Employees) – $520.00
• Platinum Partnership – $1,040.00
• Diamond Partner – $1,820.00
• Legacy Partner – $2,600.00

Total

$0.00

Square *

Card

Name on Card

Submit

Mail in Application

Prefer to mail in or drop off your application in person at the Main Street Office?
It is easy! Just download this pdf form!