Community Partner Form | coastal150

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Community Partner

$5,000

• 2 C150 memberships

• Sponsorship of a C150 social or program

• Members listed on C150 website

First name*

Last name*

Email*

Phone*

Mailing Address*

Company name*

1/3 of your membership dues support Coastal PAC. If you do not wish to participate, or due to business restraints, cannot participate in a Political Action Committee, please indicate by checking the "Opt Out" Box below:

I would like to opt out of 1/3 of my investment going to Coastal PAC

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