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Donation

* Mandatory fields

*First name

*Last name

Company/Organization

*Best Email

Typically for chapter members, this field is your primary email - generally your work email. Where you are most likely to read/view/respond to incoming emails.

*Best Phone Number

Could be, but not necessarily, your Cell Phone.

*Remit Funds ($USD)

Annual Partnership $3,000.00 (USD)

Single Event Partnership $1,000.00 (USD)

Platinum Summit Partnership $7,000.00 (USD)

Gold Summit Partnership $4,000.00 (USD)

Silver Summit Partnership $2,500.00 (USD)

Bronze Summit Partnership $2,000.00 (USD)

Comment

Phone: (323) 510-4870 Mail: In care of Premium Organization, P.O. Box 4130 Scottsdale, AZ 85261

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