Business Sponsor Signup

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Sponsorship Level *

Friend $ 50.00

Partner $ 100.00

Benefactor $ 500.00

Grand Benefactor $ 1,000.00

Sustainer $ 2,500.00

Grand Sustainer $ 5,000.00

Please enter credit card information below
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Same Billing Address?

Check here if your billing address is the same as your property address.
Billing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mailing Address

Check here if your mailing address is different than your billing address.
Mailing Address (If different) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Contact Name *
Enter contact name here
Business Name *
Enter business name here
Upload your business logo *

Browse Files
Upload file in a PNG or JPEG format Cancel of
Email *
Enter your main contact email address
Business Website URL
Main Phone *
Secondary Phone (optional)
Alternate Contact

Check here if there is an alternate person to be a contact.
Alternate Contact Name
Enter the alternate contact/proxy name
Alternate Contact Email
Enter the alternate contact/proxy email address
Alternate Contact Phone
Comments/Notes (Optional)
Enter any comments/notes here
Sponsorship Disclaimer

The City of Fort Lauderdale recognizes Flagler Village Civic Association, Inc. as a 501(c)(3) non-profit organization that represents the stakeholders in the Flagler Village neighborhood. The information you provided will be used to contact you and/or your business as necessary by the Association. The Flagler Village Civic Association (FVCA) Membership Rules apply to Sponsors as well and are governed by the FVCA bylaws. The Membership Rules contained within the FVCA bylaws can be found here .
Acknowledgement *

I understand & agree with the Membership Rules in the Sponsorship Disclaimer.
Please check the box below *
Flagler Village Civic Association, Inc. is a 501(c)(3) non-profit organization.
500 NE 1st Ave., Fort Lauderdale, FL 33301
(754) 800-9765
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