MARADE APPLICATION | LRNAACP MARADE

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APPLICATION

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ENTRY APPLICATION

By completing the registration form below, you acknowledge and agree to the following:
Information provided will be used for promotional purposes, posted on various social media outlets, and used for a variety of promotional purposes.

APPLICATIONS MUST BE RECEIVED BY JANUARY 3, 2022 at 6:00 p.m.

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Company/Organization Name

Please indicate the type of organization to be entered into the Marade *

For profit/Business

Not for profit

Government agency

First Name

Last Name

Street Address

City

State

Zip Code

Phone No.

Email Adress

Please describe your entry. Additional information may be attached to form if necessary.

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Please identify the person or persons speaking in your video or the photo submitted in the order they appear.

My company would like to sponsor from the following levels: *

Platinum Level Event Sponsor - $5000

Gold Level Event Sponsor - $3000

Silver Level Sponsor - $1000

Bronze Level Sponsor - $500

Contributor to LR Branch - $125

Entry (Branch produced content) - $75

Entry (Submitted content) - $50

Thanks for your entry!

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