Becoming a Collaborating Organization
Please complete this form to indicate your contribution and/or attendance to the conference, or both. 
By completing this form, your organization agrees and accepts the terms and conditions set forth by CRCEA80. 

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We as an organization understand and accept the following conditions:
  1. We support the Conference's stated mission.
  2. We will not promote any other agenda at the Conference.
  3. We have no tie with any foreign government/organizations.
  4. We will hold CRCEA80 and all participating organizations harmless.
Organization Registered Name:
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Organization’s EIN a.k.a. Tax ID Issued by IRS:
 *
Organization's City and State" (e.g. "New York, NY") *
Organization Representative's First Name Last Name:
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Organization Representative's Title:
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Organization Representative's Email:
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Organization Representative's Cell Phone:
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RSVP for the number of persons to attend the Invitation-only Community Forum at William Mary DC Center  in the afternoon on Dec. 5, 2023. Seating is limited and will be confirmed by email.
Please indicate the number of people from your organization will attend the Conference at the U.S. Capitol in the morning on Dec. 5, 2023.
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Please indicate your organization's contribution amount.
Bronze Level: $80 - $799. Silver Level: $800 - $1799.
Gold Level: $1800 - $4799.
Platinum Level: $4800 - $7999. Diamond Level: at least $8000.
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Please indicate any in-kind and other contribution (optional).
For donations at Bronze level and above, please send your organization logo (512x512) to info@crcea80.net
For donations at Silver level and above, please provide organization introduction within 100 words.

For donations at Platinum and above, please send Organization Advertisement (Platinum - A4 half page, Diamond - A4 full page) to info@crcea80.net
Additional comments or suggestions (optional, no more than 200 words).
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