Kurandza Giveback Partner Information:
We're so excited to have you as a Giveback Partner! Please fill out the following form to give us more information about our partnership.
Name: *
E-mail Address: *
Mailing Address: *
Website URL: *
Business Name: *
Please sum up what you do in one short paragraph! *
Social Media Handles *
Which package would you like to choose? *
How much would you like to donate each month? *
Please share any additional details with us about how you would like to partner with us! *
Upload headshot(s) below! *
Required
Upload logo below! *
Required
Newsletter List Consent
We take your privacy very seriously. No spam. Please review our Privacy Policy here: www.kurandza.org/privacy-policy.
For all questions regarding our Privacy Policy, e-mail us at info@kurandza.org.
Newsletter Updates: *
Submit
Never submit passwords through Google Forms.
This form was created inside of Simply Liv & Co.. - Terms of Service