A Kid Again - Mid-Atlantic Chapter Sponsor Form

To request an invoice for the A Kid Again Mid-Atlantic Corporate Partners Program, please fill out the form below and press submit. If you have any questions, please contact Executive Director Rachel Lippoff at [email protected].

Amount*
- Gold Partner $5,000
- Silver Partner $2,500
- Bronze Partner $1,500
Company name*
Company Website*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Name*
First Last
Phone*
Email*
Attach Company Logo
Max. file size: 100 MB.
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