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Partnership Inquiry
Partner with RVAPB!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Business/ Organization name
Name of the entity you represent
Describe business/organization
ie; youth mentorship program, restaurant, etc.
Message
Describe your partnership idea
Are you interested in hosting an Idea Collection box?
Are you interested in hosting a voting location?
Yes, and I am representing a business
Yes, and I am representing a non-profit
Yes, and I am representing a school
Yes, but my organization is NOT a business, non-profit or school
Which district is the physical location of your organization
Please Select
District 1
District 2
District 3
District 4
District 5
District 6
District 7
District 8
District 9
Would you like to receive our newsletter as well?
Please enter the location you would like to host the Idea Collection box
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Describe your relationship to the property
Owner, renter, etc.
Please verify that you are human
*
Submit
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