Keeping Money Local - Sponsor Signup Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out all fields. Call Amy at 618 713 2896 if you have any problems. Thank you!

Your Name, Last *

Your Name, First *

Your email address *

Your phone number

Your organization's name

Your organization's website

Your organization's email address

Your organization's phone number

What sponsorship level do you choose? *

Level 1 - $1,000

Level 2 - $500

Level 3 - $250

Level 4 - $100

Level 5 - Choose Your Amount

Level 6 - In-kind

Please describe yourself or your organization. This information will be shared on the website. Please limit to 100 words or less if possible.

Please describe why you want to sponsor this event, or why you think it's important for the community. This information will be share on the website. Please limit to 100 words or less if possible.

Please check the boxes which information it's OK for us to share about you and/or your organization on the Keeping Money Local website. *

My contact name

My contact email address

My contact phone

My organization

My organization email address

My organization phone

My organization information

My organizations community support statement

For Level 5 Community Supporters, do you want us to share your donation amount?

Other:

Required

For sponsorship Levels 1-3, please indicate whether you will be able to produce and provide your sponsorship materials (videos, graphics, etc.), or whether you'd like to get some assistance (additional cost maybe be required to have your materials produced). *

I can produce and provide my own sponsorship materials.

I'd like to have someone contact me about getting help with producing my materials.

Other:

Please let us know any other questions or suggestions you have for the Keeping Money Local Seminar Series - Southern Illinois, October-November 2020.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of The Climate Economy Education Inc. Report Abuse

Forms