Business Sponsor Signup

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

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 *

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Flagler Village Civic Association, Inc. is a 501(c)(3) non-profit organization.
P.O. Box 30491, Fort Lauderdale, FL 33303
(754) 800-9765