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Donation

* Mandatory fields

*First name

*Last name

Title/Position

*Address (Street)

*Address (City)

*Address (State)

*Address (Zip)

*Phone

format: (xxx) xxxx-xxxx

Cell Phone (optional)

*Fax

format: (xxx) xxxx-xxxx

*Email

*Sponsorship Levels ($USD)

Platinum $3,500.00 (USD)

Gold $2,500.00 (USD)

Silver $1,500.00 (USD)

Bronze $550.00 (USD)

Comment

*Company Name

*Street

*City

*State

*Zip

Policy Outline

*Sponsorship Agreement & Policy

I agree to all as outline in the Sponsorship Agreement & Policy

Real Estate and Financial Professionals of New York
501 East Boston Post Rd., Suite 6 | Mamaroneck NY 10543
P: (914) 341-1870 | F: (888) 900-1602 | info@refpny.com