2023 Sponsorship Form
Organization (if applicable)
Street Address Line 2
State / Province
Postal / Zip Code
Please enter a valid phone number.
Total Funds to Pledge
Please indicate how the funds will be dispersed (ie: $5,000 funds , $2,500 in kind, etc)
Based on the level of sponsorship selected, please list the items you have selected as desired deliverables in exchange for sponsorship.
Who from PACCC have you been speaking with?
Should be Empty:
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