Contributing Business Member Agreement

Contributing Business Member Agreement
Business Name
Owner's Name
Mailing Address

Street Address

Unit/Suite #

CityState / Province

Postal / Zip Code
Physical Address

Street Address

Unit/Suite #

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Website
Phone Number
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Contribution Levels

$10,000 and above ... Leaving a Legacy*
$5,000 or more ... Making an Impact on Evergreen's Future**
$2,500 or more ... Investing in the Future of Evergreen**
$1,000 or more ... Sustaining the Look and Feel of Evergreen**
$10 to $999 ... For the Love of Evergreen***

* Your business name and logo will be listed on our website with a link in perpetuity
** Your business name and logo will be listed on our website with a link while your membership is current
*** Your business name will be listed on our website while your membership is current
MY PREFERENCE IS TO ...

Donate one time onlyDonate monthly
I will donate $ blanks one time only.
I will donate$ blank monthly.

After submitting this form you must return to the Membership page and click "Donate" to complete the transaction.
Please tell us why you feel it is important to be a member of the Evergreen Legacy Foundation. NOTE: We may use this quote for promotions as well as post it on our website and include in other media materials.
SIGNATURE (type name)
DATE
Should be Empty: