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1
Name of Organization
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2
Organization Representative
First Name
Last Name
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3
Phone Number
Please enter a valid phone number.
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4
Email
example@example.com
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5
SICA Committee
Sponsorship
Budget
Entertainment
Run of Show
Community Outreach & Communications
Vendors
Workshops
Children & Education
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6
Upload Logo
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7
Community Partner Resource Table?
YES
NO
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8
Organization Donation
*
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250.00
USD
Description
USD
+ OR enter a custom value
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9
Signature
Representative
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10
Payment Methods
Debit Or Credit Card
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First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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SICA Community Partner Form
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