Sponsorship Form - Content | Staging Roslyn Chamber

Company Name *

Contact Name

Title

First Name *

Last Name *

Suffix

Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Telephon / Cell Number *

Email *

Sponsorship Levels *

Platinum Level: $1500 Gold Level: $1000 Silver Level $500

Form of Payment *

Check Credit Card

Payment Options: Mail Check to: RCOC P.O. Box 35 Roslyn, NY 11576 | Payment by CreditCard: Call Dana at 516.659.5961

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