MIL 2021 Sponsor Form

Thank you for your interest in becoming a sponsor! The form below will help us gather all the information we need to show off your support. Please read through it thoroughly, and if you have any special questions just send us an email at:

info@brevardprevention.org
Contact Full Name *

First Name Last Name
Contact Email *
example@example.com
Organization Name *
Organization Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Organization Phone Number
Please enter a valid phone number.
Organization Website
Upload Logo (PDF/PNG Preferred) *

(you can upload multiple files at once)
Cancel of
Choose Payment Type *

Credit / Debit Card Check by Mail
Sponsor Options
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Move Into Light - Event Sponsor 2022 Your logo will be displayed on the event website, event day sponsor video reel, event banner, and our social media. Includes complimentary vendor table and 2 chairs.
$ 1,000.00

Total

$ 0.00
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The payment is ready! It will be completed once you submit the form.
Make checks payable to: Brevard Prevention Coalition

Mail to: 2226 Sarno Rd., Suite 108, Melbourne, FL 32935
Move Into Light Event Sponsor 2022: $1,000

Your logo will be displayed on the event website, event day sponsor video reel, event banner, and our social media. Includes complimentary vendor table and 2 chairs.
Please verify that you are human *
A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435- 7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. REGISTRATION NUMBER: CH64248
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