2024 Regional Event Sponsorship

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2024 Regional Event Sponsorship Form

Donate Once

Scholarship Sponsor

Network Support Sponsor

Deepening Connections Sponsor

Affinity Group Sponsor

{{donationOtherAmountLabel}} *

USD

2024 Regional Event Location Selection

Secure Payment

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First Name *

Please share the name of the person filling out this form. You'll have a chance later to let us know if others from your company will be attending the event.

Last Name *

Job Title

Please share the job title of the person filling out this form.

Email *

Please share the email address of the person filling out this form.

Phone *

Please share the best phone number where we can reach the person filling out this form.

Submit as a company

Company Name

Website *

Please share here a link to the specific page you'd like us to drive attendees to - your homepage, a nonprofit-specific page, Facebook, etc.

Company Logo

Company Representatives at Event

Network Support, Deepening Connections, and Affinity Group Sponsors are invited to staff an exhibitor booth. Please share here the name(s), title(s), and email(s) of those attending on behalf of your company.

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Notes

Please share here anything else we should know about your sponsorship of the selected event!

Secure Payment

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Card

Pay Later

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card Number *

Expiration (MM/YY) *

CVV *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip

Country

I will mail in a check or money order

Please mail your payment to:
4801 Lindle Road
Harrisburg, PA 17111

Amount:

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Secure Payment

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