Sponsorship Application Form | 100 Black Men of Syracuse

1. Sponsor Information

Company Name(Required)

Contact Person

First Last

Title

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Website (for recognition)

2. Sponsorship Levels

Please select your preferred annual commitment level:

Pinnacle Partner — $20,000 (o Premium recognition and benefits across all annual programs.)

Visionary Partner — $15,000

Impact Partner — $10,000

Mentor Partner — $5,000

Community Partner — $3,000

Advocate Partner — $2,500

Supporter Partner — $2,000

Friend of the 100 — $1,000

Community Ally — $500

Other

Please select the "Other" option, if you'd like to make a custom in-kind contribution.

3. Payment Method

Please select one

Check: Please make checks payable to "100 Black Men of Syracuse Inc."

Invoice Needed: Please send an invoice to the contact email listed above.

Credit Card/Online Payment: We will submit payment securely via your online portal.

4. Agreement & Authorization

By signing below, the sponsor agrees to provide the financial support specified above. 100 Black Men of Syracuse Inc. agrees to provide the corresponding benefits detailed in the selected sponsorship tier.

Type Sponsor Representative Name

Date

Month

Day

Year

5. Submission Instructions

After submitting this form, please email a high-resolution copy of your logo (PNG or vector format) to:
• Email: [email protected]

100 Black Men of Syracuse Inc. is a registered 501(c)(3) organization. Donations are tax-deductible to the extent allowed by law.

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