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Corporate Sponsor Application
Thanks for your interest in donation to the Black Girl Health Foundation (501)(c)(3). Please click start to submit your donation.
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1
Please provide your full name.
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First Name
Last Name
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2
Please provide your email.
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example@example.com
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3
Please provide your phone number.
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Area Code
Phone Number
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4
Please provide your company name.
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5
Please provide your title.
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6
Please upload your company logo.
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For website promotional purposes
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: 10.6MB
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7
Please choose or create a donation amount
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Bronze Sponsor 5,000: (1) ambassador one school year Silver Sponsor 10,000: (2) ambassadors one school year Gold Sponsor 20,000: (4) ambassadors one school year Platinum Sponsor 30,000: (6) ambassadors one school year Diamond Sponsor 40,000: (8) or more ambassadors one school year
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( X )
5000
USD
10000
USD
20000
USD
30000
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40000
USD
BGH Foundation Donation
USD
+ OR enter a custom value
First Name
Last Name
Credit Card Number
Security Code
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