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First Choice Home Heartbeat Initiative: Business Sponsorship Form
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Business Name::
*
Business Website:
*
Contact Person:
*
First Name
Last Name
Title/Position:
*
Contact Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
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Business Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Idaho
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Indiana
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Sponsorship Information
Type of Sponsorship:
*
Financial Contribution
In-Kind Services (e.g., electrical supplies, labor)
Promotional Support (e.g., advertising the initiative)
Other
If Other Please Specify:
Sponsorship Amount/Value (if applicable):
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Why is your business interested in sponsoring this initiative?
*
Expectations from Sponsorship:- What are your business’s expectations from this partnership? (e.g., brand visibility, community engagement)
*
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Consent and Acknowledgment:
*
I consent to the public recognition of our business as a sponsor of the First Choice Home Heartbeat Initiative, including but not limited to promotional materials and press releases, and I hereby confirm that the information provided is accurate and that our business is committed to supporting the First Choice Home Heartbeat Initiative in the capacity indicated above.
Terms & Conditions:
*
I agree to be contacted at the number & email provided with more information or offers about First Choice Electric's Products & Services. Calls or texts may use computer-assisted dialing or pre-recorded messages. This consent is not a condition of purchase.
Signature of Authorized Representative
*
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