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Sponsorship Application
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Donation
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Mandatory fields
Salutation
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First name
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Last name
Street Address
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State
Zip Code
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Organization
Job Title
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E-mail
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Phone
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Paid thru date
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Sponsorship Levels ($USD)
Annual Sponsorship
$750.00 (USD)
Quarterly Sponsorshiphoice
$250.00 (USD)
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