The Rockford Summit on Racism

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The Rockford Summit on Racism - Sponsorship Form

Please complete this form if you are interested in being a Sponsor of the Rockford Summit on Racism. The event is on Thursday, May 4th.

For more information about being a sponsor go here. (www.er815.org/sponsor)

This form must be completed by 11 pm CST on Friday, March 17th, 2023.

Email *

First Name *

Last Name *

Your title with the organization or business you are representing *

Name of Organization or Business *

Street Address (including Suite or Apt #) *

City *

State *

Postal Code *

Telephone Number *

Website and or Facebook Page

Please describe your organization or business (What is your focus, mission and/or purpose?) *

Which sponsorship level?

Additional information on Sponsor Benefits here.

Partner Co-Sponsor - starts at $3,000

Associate Sponsor - $2,000

Affiliate Sponsore - $1,000

Sponsor - $200 to $999

Please indicate your sponsorship amount *

Please use this space to provide any additional information or questions you have for the planning committee.

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