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Sponsor Registration Form Paint the Peninsula August 20 – 27, 2017 ☐Premier Sponsor $10,000 ☐Silver Sponsor $1,000 ☐Platinum Sponsor $5,000 ☐Hosting Sponsor $500 ☐Gold Sponsor $2,500 ☐Other donation: $____________.______ Organization/Business: ________________________________________________________ Contact: ____________________________________________ Phone: (____) _____ - _____ Email: _______________________________________________________________________ Address: _____________________________________________________________________ City: __________________________________________________ State: ____ Zip: ________ Deadline for sponsorship July 15, 2017 Payment Information ☐Send Invoice ☐Check Enclosed ☐Pay by Credit Card Amount: $____________.______ Card Number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ CV: ____ Exp: ___/___ Cardholder Name: ____________________________________________________________ Signature ____________________________________________________________________ Please send completed forms and make checks payable to: Contact the Center: Port Angeles Fine Arts Center [email protected] 1203 E. Lauridsen Blvd. (360) 457-3532 Port Angeles, WA 98632 Tax I.D. # 94-3029546 Our Founding Sponsor:
