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FOUR WAYS TO BECOME A SPONSORSIGN UP BY REGULAR MAILPlease print this form, fill it out and send it along with your check made payable to: EICI (Evans Interpersonal Communications Institute) PO. Box 589 Alamo, CA 94507 SIGN UP BY PHONE Call EICI at 925 934 5972 We"ll fill in the form and you can become a sponsor using your master card or visa card SIGN UP BY FAX Please print this form fill it out including your Master Card or Visa Card information and send it to EICI at our secure dedicated FAX number: 925 933 9636 SIGN UP BY E-Mail Return to the online sponsorship form. SPONSOR SIGN-UP FORM Individual: ______ Organization/Small Bus.: _____ Corporation: ______ One Year Sponsorship: ______ Lifetime Sponsorship: ______ Name __________________________________________________________________ (Individual, Organization or Corporation as it will be listed on sponsor page) URL: Web Address _______________________________________ (If applicable) Contact ______________________________________ (If different from Name above) E-mail Address ____________________________________ Phone Number _________________________________ Street/PO Address _____________________________ City _________________________________________ State _______ Zip Code __________ REVIEW AND ENTER YOUR SPONSOR CHOICE BELOW Individual: $ 40.00 or more Org./small business: $ 200.00 or more Corporate Sponsor: $1,000.00 or more Individual: $ 500.00 or more Org./small business: $2,000.00 or more Corporate: $8,000.00 or more Please sign me up: Amount of payment _____________________________________ Master or Visa Card # __________________________________ Name on Card ___________________________________________ Expiration Date __________________ Don't list me on Sponsor Page. I want to remain Anonymous Yes__ No__ Thank you for your support. If you have any questions please call EICI at 925 934 5972 |
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