Your Contact Information

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Your Organization’s Information

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Your Sponsorship

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Please review the Evergreen Duck Derby Sponsorship Packet for details on the available sponsorship levels.

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Please provide the approximate fair market value.

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Billing Information

Please complete the requested billing information.

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Payment Information

Please complete the requested payment information.

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Credit Card Number must be a 16 digit number.
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CVV must be a 3 digit number.
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Credit Card Expiration Month must be a 2 digit number.
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Credit Card Expiration Year must be a 2 digit number.

Please make checks payable to "H-GAC Corporation for Regional Excellence".

Please include "Evergreen Duck Derby Sponsorship" in the memo line.

After submitting this form, please mail checks to the following address:

Houston-Galveston Area Council
Attention: Outreach and Government Affairs
3555 Timmons Lane, Suite 120
Houston, TX 77027

Review and Submit Your Evergreen Duck Derby Sponsorship

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