The Med Gala Sponsor Application
Email *
Physicians Working Together, Inc has tax-exempt status under Section 501(c)(3) of the Internal Revenue
Code. Contributions to our organization are deductible under Section 170 of the Code.
Name/Business Name
Authorized Representative
Phone
Email
Mailing Address
Products or Service Offered
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Please email a copy of your company logo and provide any branding guidelines. Would you like to provide any promotional materials for distribution at the event? *
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