business partner registration

Company Name*
Primary Contact*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Select Business Partnership Level*
- Conservationist - $10,000.00
- Barnraiser - $5,000.00
- Harvester - $2,500.00
- Cultivator - $1,000.00
- Trailblazer - $500.00
- Other Amount
Enter Other Amount
Billing Information:
Billing Name*
First Last
Billing Address*
Same as Address Above?

Street Address Address Line 2 City State ZIP Code
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00
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Name
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Quality of life and quality of place – they’re good for you and your bottom line.

Saratoga PLAN
112 Spring Street Room 202
Saratoga Springs, NY 12866

We welcome your support even if you’re not able to join us at one of the Business Partner levels this year.

Gifts under $500 are encouraged and much appreciated and will be acknowledged in our Annual Report.