AWRA FLORIDA

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DONATIONS AND SPONSORSHIPS

Thank you for choosing to support AWRA Florida. If paying via check, make payable to AWRA Florida and send to:

Woody Boynton

AWRA-FL Treasurer

317 Old Plantation Drive

St. Augustine, FL 32086

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

If high school or university student, enter "Student".

*Company/Organization/School

*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

Please enter if requesting Continuing Education Hours (CEHs)

Florida PG #

*Donation Type

*Meeting Sponsored

Choose the meeting you are sponsoring. If sponsorship is not meeting related choose Not Applicable.

*Donation/Sponsorship Amount ($USD)

Other Amount

Platinum $500.00 (USD)

Gold $350.00 (USD)

Silver $250.00 (USD)

Bronze $150.00 (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.

awra@awraflorida.org