Community Partner Form

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Monthly gifts go further — cancel or pause anytime.

Community Leader

Community Producer

Community Creator

Community Supporter

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USD

Campaign

Purpose

Submit as a company

Dedicate my donation in honor or in memory of someone

Type

Honor

Memory

Tribute Name

Tribute Comment

I would like to send an acknowledgment to someone.

Acknowledgee Name is the same as the Recipient.

Acknowledgee Name

Acknowledgee Email

Acknowledgee Address Line 1

Acknowledgee City

Acknowledgee State/Province

Acknowledgee Zip/Postal Code

Your contact information

First Name *

Last Name *

Company Name

Email

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Brand Recognition

Please include your brand logos, website, and social media handles so that we can publicly acknoweldge your support! Leave blank any that do not apply.

Please note that logos used in any printed materials must be received 3 weeks prior to any associated events.

Website

Please include the URL where you would like us to direct our constituents.

Social Media Handle - Facebook

Social Media Handle: Instagram

Social Media Handle - TikTok

Social Media Handle - LinkedIN

Company Logo (Digital) - Any shape / orientation, for use on website and emails

Company Logo (Social Media) - Preferably square, 1080x1080px

Company Logo (For Print)

Payment Details

Pay Later

I will mail in a check or money order

Please mail your payment to:
PO Box 60
Hastings on Hudson, NY 10706

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