Market Mile Sponsor Form

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Amount

Donate Once

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Other Amount

Other Amount

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USD

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Campaign

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Donor Note

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Your information

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First Name *

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Last Name *

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Submit as a company

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Company Name

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Company Website

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Email

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Address Line 1

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Address Line 2

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City

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State/Province

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Zip/Postal Code

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Country

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Payment Details

If you are sending a Check *OR* you are donating items, please select Pay Later.

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Card

ACH

Pay Later

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or enter your card details below

Cardholder First Name *

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Cardholder Last Name *

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Cardholder Email

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Card *

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Billing address is the same as mailing address

Address Line 1

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Address Line 2

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City

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State/Province

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Zip *

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Country

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I will mail in a check or money order

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Please mail your payment to:
PO Box 2153
Galveston, TX 77553

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Amount:

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Secure Payment

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Market Mile Sponsorship Form

Questions? Email info@gofarmersmarket.com

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Password:

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Email:

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ACH Payment Confirmation

Verify that your bank account information is accurate.

Total Amount

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Routing Number

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Bank Account Type

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Bank Account Number

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ACH payments may take up to 10 days to appear on your bank account statement.