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Partnership Application in Person
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Name
*
First
Last
Company
Phone
*
Are Partnership Phone
Email
*
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Website / URL
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
*
Friend -
$50.00
Family -
$75.00
Non-Profit Organization -
$50.00
Small Business (less than 10 employees) -
$150.00
Medium Business (11-50 Employees) -
$250.00
Large Business (51 or more Employees) -
$500.00
Platinum Partnership -
$1,000.00
Diamond Partner -
$1,750.00
Legacy Partner -
$2,500.00
Total
$0.00
Payment Method
Cash
Check
Submit