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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:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Phone:
Choose your Partner Level Below
*Partner Level
Choose a Partner Level
Platinum $5000
Gold $4000
Silver $3000
Bronze $2000
Platinum Prefered Luncheon Date
Choose a Prefered Date
May 25th, 2022
July 27th, 2022
September 28th, 2022
Gold Prefered Luncheon Date
Choose a Prefered Luncheon Date
May 25th, 2022
July 27th, 2022
September 28th, 2022
Platinum Prefered PIE Date:
Choose a Prefered Date
February 10th, 2022
March 10th, 2022
April 14th, 2022
May 12th, 2022
June 9th, 2022
July 14th, 2022
September 8th, 2022
October 13th, 2022
November 10th, 2022
Gold Prefered PIE Date:
Choose a Prefered Date
February 10th, 2022
March 10th, 2022
April 14th, 2022
May 12th, 2022
June 9th, 2022
July 14th, 2022
September 8th, 2022
October 13th, 2022
November 10th, 2022
CLICK HERE FOR DESCRIPTIONS OF BENEFITS TO BE ASSIGNED
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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