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Business Sponsorship Form
With your help, we CAN make a difference for our beloved Severn River.
Amount
*
$5,000
-
Diamond
$2,500
-
Platinum
$1,000
-
Gold
$500
-
Silver
$350
-
Bronze
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Business Name
*
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Comment
Custom text
Add 3% to my total amount to help cover the payment processing fees