LWAG 2021 Partnership Form
If you have any questions please reach out to:

Gina Arnold
Marketing Coordinator at Ugly Mug Marketing
P 318-290-3430
E gina@uglymugmarketing.com
Business Name *
Partner Name *
Email Address *
Phone Number *
Address *
Partner Level *
Payment Method *
I {write your name below} agree to the above partner level for LWAG 2021. *
By typing your name below, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this agreement.
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