BOLDtFEST Founder Registration
Thank you for your interest in being a Founder and a Champion of the local, independent voice!  Please fill out this form to become a Founder and receive your benefits.  The donation required to be a Founder is $500, which can be made through our website or via check made out to Access Humboldt.  Once we receive the information below & your donation, you will be on the limited list of Founders for life and enjoy annual recognition, a Founder's pin, and the VIP experience at every BOLDtFEST Red Carpet World Premiere.  Because this opportunity is limited to 20 people, we are asking that one form per participant be filled out.  If you wish for a spouse/partner to participate, please fill out a separate form and make a second donation.
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Your Name as you wish it to appear in Recognition (Individual names only) *
Home Mailing Street Address for 501c3 Charitable Receipt delivery *
City *
ZIP *
email *
cell phone *
Thank you for filling out the form!  
Your next step is to Donate by clinking the link in the confirmation page after hitting submit. and selecting "other" to fill in the donation of $500.  Or if you prefer, please mail a check made out to Access Humboldt and the Memo "BOLDtFEST Founder" to PO Box 157 Eureka, CA 95502
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