Form

Please become a sponsor of Diversity Focus. You will be recognized in Inclusive Communications publications and received invitations to community celebrations and events. Business and Non-Profit sponsors will be recognized and linked on web page.

Diversity Focus Sponsorship (Credit Card payment with PayPal)

Individual - 1 year $25.00 USD
Family - 1 year $100.00 USD
Small Business - 1 year $250.00 USD
Student - 1 year $10.00 USD

Total: $0.00 USD

To pay for sponsorship by check, print this form, complete it and mail the form and payment to Diversity Focus, 222 2nd Street SE, Cedar Rapids, IA 52401

First Name*

Last Name:*

E-mail:*

Company/Organization:

Phone:*

Address:*

City:*

State:*

Zip code:*

Enter the text you see in the image:*