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Community Business and Individual Partnerships
Amount
*
$1,000
$500
$250
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Continue donating until
(mm/dd/yyyy)
How would you like your partnership recognized?
*
Ex: Jamalty Pest Control
Contact Information
Organization/Employer
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