Corporate Member Sponsor
Please us this form if you are registering your Non Profit, Society, Charity or Club as an Affiliate Member of ROCK ED.
* Required
Email address
*
Your email
Legal Name of Organization
*
Your answer
Main Contact: First Name Last Name, Position
*
Your answer
Address? Please include street, city and province.
*
Your answer
How many employees do you currently have?
*
Your answer
Organization Website, if available (Social Channel link can be used in place of website)
Your answer
Choose Your Sponsorship Level
*
Choose
Bronze $50
Silver $100
Gold $250
Platinum $500
Would you like to "Top Up" your sponsorship? Enter an additional amount you would like to add to your base sponsorship rate. (Any amount entered here will be included in your official member sponsorship receipt.)
Your answer
Please Email Your Logo
Please email us a JPEG or PNG logo for use on our Corporate Member Sponsor Page to
rockedbackcountry@gmail.com
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