Bioneers Resilient Communities Network Application - Existing Sites
Resilient Communities Network
1607 Paseo de Peralta
Suite 3
Santa Fe, NM 87501
Phone: 505-986-0366, ext. 112
BRCN@Bioneers.org

Review BRCN Partnership Agreement:
http://bioneers.org/2016BioneersResilientCommunitiesNetworkPartnershipAgreement.pdf

Organizational Info
Email
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Name
First Name and Last Name
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Company/Organization
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Web Address
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Address Line 1
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Address Line 2
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City
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State/Province
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Zip Code/Postal Code
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Phone Number
Include Extension If Applicable
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Other Information
City and State where our event will be held
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When do you plan to host your event(s)?
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Please describe the organization planning the event
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You may brand your event using one of the following
· A regional and/or city reference followed by the words “A Bioneers Resilient Communities Network Event,” such as Central Coast Bioneers, A Bioneers Resilient Communities Network Event, or Great Lakes Bioneers Detroit, A Bioneers Resilient Communities Network Event. The use of a state name without a qualifying descriptor is not authorized.

· A structure that clearly shows Partner as the producer of the Partner Event. The event name must use the words “A Bioneers Resilient Communities Network Event” following the name of the Partner, e.g., Green Alliance presents A Bioneers Resilient Communities Network Event.

Using the Terms above, how will your event be branded (named)?
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Please include the following individuals in Resilient Communities Network Partner Communications
Name
First and Last
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Email Address
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Name
First and Last
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Email Address
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Name
First and Last
Your answer
Email Address
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