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Sponsorship Levels
*
$5,000
-
Partner
$2,500
-
Supporter
$1,000
-
Ally
$500
-
Friend
$500
-
Community Partner Ally
$250
-
Community Partner Friend
Name
*
First Name
Last Name
Email
*
Address
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Company Name (if applicable)
Upload Your Company Logo (if applicable)
*Please provide the highest logo resolution possible
Add 3% to my total amount to help cover the payment processing fees