3rd Annual “Let’s Walk About It” Mental Health Awareness Walk Sponsorship Form

Contact Name *

First NameLast Name

Title *

Name of Business or Organization *

Email*

example@example.com

Business/ Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Business Info for Mile Marker (Diamond and Gold Packages Only)

Business or Organization Description *

Signature *

The signature of this duly authorized representative of the company/organization noted above agrees and understands that by signing this form, that the electronic signature is the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

Sponsorship Packages (select one)*