TEST Page - GIVE A LITTLE FOUNDATION

Business and Professional Partner Sign-Up

Yes, I (we) wish to become a Business/Professional Partner by means of a:

lump sum; please fill in amount ($500 minimum for a period of one year with a flexible

monthly donation—can be done by automatic transfer; please fill in amount
                                                                        ($42 monthly minimum for one year to be a Partner)

I am (we are) unable to pledge a minimum amount of $500, but wish to support Give a Little with a                           donation of:              (please fill in any amount)

Name: Date:
Business/Professional name:
Mailing address: _________
Website:          Phone:_
Email address(es) for quarterly newsletter and occasional updates on news or special events (please make a note here if you prefer to receive all such correspondence by regular mail, or if you prefer not to receive any mailings):______________________________________________________________________

Submit

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