PARTNER REGISTRATION FORM

Partner's Contact Information

Partner's name: Business name:

Address: City: Zip:

Telephone: Cell No:

Email: Preferable contact by: Tel Cell Email

Partner's Participation and Support

(Complete sections that apply)

Monetary Support*:

One time gift: $ Earmarked for purpose of:

Recurring monetary support: I/We pledge to support Project Legacy in the sum of per

Not at this time, but I may consider financial support for Project Legacy in the future:

I wish to be notified by Project Legacy of future financial support opportunities:

* All monetary support is tax deductible.

Volunteer Support: (Check as many as apply)

I would like regular notification of volunteer opportunities as they may arise.

I would like to volunteer for the upcoming project named:

I may consider volunteer work with Project Legacy in the future.

I have the skills and/or desire to perform volunteer services for Project Legacy in the following
areas/categories:

Resource Support: (Check as many as my apply.)

I have space and/or accommodation that I will make available to Project Legacy. Please
describe:

I have equipment/supplies/tools that I will make available to Project Legacy. Please describe: