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CTCAR Partner Commitment 2022
Main Contact Person
This will be the person listed on the website
*First Name:
*Last Name:
*Company Name:
*E-Mail:
*Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Phone:
Choose your Partner Level Below
*Partner Level
Platinum Prefered Luncheon Date
Gold Prefered Luncheon Date
Platinum Prefered PIE Date:
Gold Prefered PIE Date:
Invoice will be sent upon submission
Accounting E-Mail:
Invoices will be sent after form is submitted typically 10 days. Payment is due by February 28th, 2022. Checks only will be accepted, we do not take credit cards for sponsorship payments.
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