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Sponsor registration

Thank you for your interest in sponsoring the Winter Ball. Your commitment to supporting the health and well-being of our community is greatly appreciated.

Please complete this form. You will be contacted to confirm your commitment.

*Required field

 

Company Name (as it should be listed in promotional materials)*  
Contact First Name*  
Contact Last Name*  
Address*  
City*  
State*  
Zip Code*  
Email*  
Phone number*  
Sponsorship Level* PLEASE SELECT ONE  
   
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