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Business Sponsorship Form
Business/Organization Name
*
Contact First Name
*
Contact Last Name
*
Title
Email
*
Phone
Mailing Address:
Mailing Address
Country/Region
Address
City
Zip / Postal code
Website (If Applicable)
Business Logo (If Applicable)
Upload File
Social Media Handles (For Tagging)
Select your preferred annual sponsorship level:
Diamond Sponsor
$10,000
Platinum Sponsor
$7,500
Gold Sponsor
$5,000
Silver Sponsor
$2,500
Bronze Sponsor Donation Amount ($250-$2,499)
$
Please list how you would like your name/business to appear in materials:
*
Authorized Signature
Signature
*
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Full Name
*
Date
*
Month
Day
Year
Submit
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