Contributing Business Member Agreement

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

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Physical Address

Street Address

Street Address Line 2

City State / 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.
Fax Number
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 (choose one)
Donate one time only for $ blank.
Donate $ blank on a monthly basis.
Donate $ blank on an annual basis.
Please tell us why you feel it is important to be a member of the Evergreen Legacy Fund. 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 and date)
Should be Empty: