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AWRA FLORIDA

DONATIONS AND SPONSORSHIPS

Thank you for choosing to support AWRA Florida. If you would prefer to pay via check, make payable to "AWRA Florida" and send to Kellie Clark (AWRA Florida), c/o Kimley-Horn, 1412 Jackson Street, Suite 2, Fort Myers, FL 33901.

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-HELP-FLA OR ONLINE AT www.FloridaConsumerHelp.com. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. REGISTRATION #: CH39023.


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Donation

* Mandatory fields
*First name
Middle name/initial
*Last name
Post-nominal letters (e.g. PE, PG, etc.)
Job Title
*Company/Organization
*Street Address
*City
*State
*Zip
*Email
*Phone
Please provide area code and separate with dashes (e.g. XXX-XXX-XXXX).
Alternate Phone
Please provide area code and separate with dashes (e.g. XXX-XXX-XXXX).
Website
Company/Organization Website
Florida PE Number
Meeting Sponsored
If "Donation Type" selected above is "Meeting Sponsorship", enter the Month, Year and location of the meeting to be sponsored (e.g. September 2017 West Palm Beach).
*Donation/Sponsorship Amount ($USD)
For more information on sponsorship levels and benefits, visit www.awraflorida.org/sponsorship
*Company or Organization
For corporate donations/sponsorships, please provide your Company/Organization. For personal donations, type "Personal".
Comment
Provide any other relevant information.
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