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Business Partnership/Sponsorship Form
*** Partnership/sponsorship benefits are for 1 year. ***
We want to be a MLT business partner/sponsor at the below level:
*
$2,500
-
(Diamond)
$1,000
-
(Platinum)
$500
-
(Gold)
$250
-
(Silver)
$100
-
(Bronze)
$
Business/Organization Name
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Phone
Email
*
Verify Email
*
Contact Person
*
First Name
Last Name
Business Logo Upload
Please upload your business logo if sponsoring at Silver level or above.
Notes/Comments
Add 3% to my total amount to help cover the payment processing fees