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Sponsorship Payment Form
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Sponsor Information
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Sponsor Information
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Company Name
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Company Logo
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Please attach your company logo in high resolution
Address
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Sponsorship Details
*
Sponsorship Details
Layout
Type of Sponsorship
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Fellowship Facilitator -$2,500.00 Sponsorship
Other
Fellowship Facilitator
Price:
$ 2,500.00
Other Sponsorship
*
Event or Initiative Information
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Event or Initiative Information
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Name of Event or Initiative
Payment Information
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Payment Information
Payment Method
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Credit Card
Debit Card
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Total
$ 0.00
Stripe Credit Card
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Agreement
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Agreement & Signature
Terms and Conditions
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By signing below, you agree to the terms and conditions outlined in the attached Sponsorship Agreement
Signature of Sponsor
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Clear Signature
Date of Signature
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