Support Wisconsin Local Food Network in Developing a Collaborative Change Platform
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Please Indicate Your Giving Level *
Please Indicate what In-kind support you can provide (if any) *
Printing, advertising, conference/exhibit registration, food, supplies, labor/volunteer hours, technology, etc
Do you anticipate being able to commit to an annual partnership at this giving level?            
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What is the best time of year for you to contribute annually?
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Payment *
WLFN’s fiscal sponsor, the Wisconsin Farmers Union Foundation, is a registered 501(c)3; therefore All donations are tax deductible
Key Contact Information
Name:
Title:
Phone:
Email:
Mailing Address:
Website URL:
Your Organizational PROFILE
FOR YOUR PROFILE PAGE ON THE WLFN WEBSITE
Do we have your permission to display the BELOW information in your “Organizational Profile” on the WLFN website?
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Organization Name:
Type of organization (check all that apply):
Mission / Values (what do you want people to know about your organization? What makes you unique?):
Number of Employees:
Number of Members / Clients / Customers, if applicable:
Physical Locations where your organization operates (please include zip codes for our WLFN partner mapping project):
Are you a member of Something Special for Wisconsin?
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Please paste the URL of your business's *high quality* logo here:
Alternatively, email us your logo as an attachment. WiLocalFoodNet@gmail.com 
THANK YOU!
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