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Donation

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*Email
*Contact Person Name
*Contact Person Phone
*Business/Organization Name
Website
*Street Address
*City
*State
*Zip
*Business Phone Number
Fax Number
*Type of Service or Product
My organization wishes to participate at the following level:
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Names of additional representatives attending conference (as to appear on name tags):
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*Amount Paid Today ($USD)
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Please contact Justin Palmer (JPalmer@kannapolisnc.gov) if you need information on sponsoring one of our events. 

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