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Progress 64 West Banquet Sponsorship
2023 Banquet Sponsorship
Thank you for becoming a 2023 banquet sponsor — Champions in Action
Please complete this quick questionnaire so that we have all the important information.
OK
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1.
Please complete the following information:
(Required.)
Name
*
Organization
Business Address
*
Address 2
City/Town
*
State/Province
*
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
*
Country
*
Email Address
*
Phone Number
*
*
2.
Please select your sponsorship level.
(Required.)
Partner Sponsor $5000 (1 sponsorship available)
Progress Sponsor $3500 (3 sponsorships available)
Gold Sponsor $1500 (not limited)
Silver Sponsor $1000 (not limited)
Green Sponsor $300 (not limited)
*
3.
Which best describes you?
(Required.)
for-profit business
not-for-profit organization
individual
municipality
Other (please specify)
4.
Organization Website.
5.
Nature of Business
6.
Contact information for the individual to be listed as primary contact for your organization
Name
Role/Title
Email Address
Phone Number
*
7.
Billing Contact Information
(Required.)
Name
*
Company
Address
*
Address 2
City/Town
*
State/Province
*
ZIP/Postal Code
*
Country
*
Email Address
*
Phone Number
*
*
8.
Preferred Billing Method
(Required.)
Electronic Payment
Paper Check
No preference
Other (please specify)
9.
Do you have any other questions or comments for us?
Thank you! We will be in touch soon with your invoice and next steps! If you have questions please email
info@progress64west.org
.
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