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* 1. What is the name of your Company/Organization?

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* 2. What is the address of your Company/Organization?

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* 3. Who is the primary point of contact for your organization?

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* 4. Please enter contact information for the Primary Point of Contact:

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* 5. What goal do you want to accomplish with this sponsorship?

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* 6. Please select a Sponsorship Level:

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* 7. What payment method do you plan to use?

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* 8. Please type your name in the box below to sign this agreement.

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