Sponsorships Intake

1

Contact Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Brand Name* This field is required.

5

Brand Website or Social Media Handle* This field is required.

7

Provide us more information about your product(s)* This field is required.

8

Upload your Logo or Product Images* This field is required.

Drag and drop files here

Select files to upload

9

Which month would you like to sponsor?

10

Select your sponsorship level* This field is required.Provide sample items for our monthly box

Reach 100 Members (100 Boxes)

Reach 200 Members (200 Boxes)

Reach 300 Members (300 Boxes)

Reach All Active Members (Full Box)

Other

11

Please confirm you will have your products available by the 1st of your chosen monthProducts are due by the 1st of the sponsoring month.

YESNO