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Sponsorship Application

1

Please complete the following application and click the "Submit" button.

2

Click on the "Go to Store" button to purchase the sponsorship level you selected.

Sponsorship Application

Select a date

New Application

Renewal

Sponsor Level (Select One)

Partner ($150/Year)

Patron ($250/Year)

Benefactor ($500/Year)

Champion ($1,000/Year)

First name

Email

Cell Phone

Last name

Home or Work Phone

Company

Street Address

City

Postal / Zip code

Street Address Line 2

Region/State/Province

Country

Preferred method of contact

Phone

Email

Text

For Benefactor and Champion Sponsorships Only - Please add name and contact of second member.

First name

Email

Last name

Preferred Phone Number

Briefly describe your Jazz interests

Are you a musician?

If so, what instrument?

How did you hear about Jazz Pensacola?

Name of Jazz Pensacola member that referred you

Would you like to volunteer?

Current/past occupation or any special skills

I want to subscribe to the newsletter.

Thanks for submitting! Please click on the "Go to Store" button to select your sponsorship level.

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