S2S Sponsorship Form

Company Information
Company*
Company Website
Please recognize our company in print and online materials as:*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Primary Contact Information
Primary Contact Name*
First Last
Primary Contact Title*
Primary Contact Phone*
Primary Contact Email*
Alternate Contact Information
Alternate Contact Name
First Last
Alternate Contact Title
Alternate Contact Phone
Alternate Contact Email
Contribution
Sponsorship Level*
You will be asked for an exact contribution amount after selecting payment method.
- Lead Sponsor = $15,000
- Watershed Sponsor = $10,000
- Main Stem Sponsor = $5,000
- River Sponsor = $2,500
- Stream Sponsor = $1,000
- Supporter = under $1,000
How do you want to pay?*
- Credit Card
- I will send a check via mail to CRC at 15A Bank Row, Greenfield, MA.
- I request an invoice from CRC sent to the address entered above.
Contribution Amount*
Contribution amount*
Credit Card*

Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Additional comments/questions:

Company Information