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SPONSORSHIP - On line form
2019 SPONSORSHIP - On line form
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SPONSORSHIP - ON LINE FORM
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Donation
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Mandatory fields
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First name
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Last name
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Organization
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GENERAL INFORMATION
Company
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Name and Title
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Address
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City
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State / province
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Sponsorship Purpose:
Please identify the purpose of this sponsorship (e.g. upcoming workshop sponsorship, upcoming symposium sponsorship, general donation, or other descriptors)
Comment
SPONSORSHIP CONTRIBUTION
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Sponsorship Level
RIVER: >$2,000
STREAM: $1,000-$2,000
EDDY: $500-$999
MUSSEL: $100-$499
The following payment is based upon acceptance of this Sponsorship Agreement by the Freshwater Mollusk Conservation Society (FMCS) and is not subject to cancellation, except by the consent of both parties, as indicated in writing.
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Enter your Amount ($USD)
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