The Box Project-New Team or Corporate Membership

The Box Project-New Team or Corporate Membership
This form is only for new Team or Corporate Memberships. See Team or Corporate Renewal form for annual renewals.
TBP Team/Corporate Membership:
Company (For Corporate Members Only)
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail
Comments:
Thank you for recognizing the need to financially support The Box Project to sustain its mission. We would like for Team Members to commit to an annual $100.00 donation and Corporate Members to commit to an annual $500.00 donation. A commitment of an annual donation of any amount is much appreciated.
TBP Team/Corporate Membership
prevnext( X )
Recurring Annual Corporate Membership(USD for each year)

Annual Team Membership(USD one-time payment)

Recurring Corporate Membership(USD for each year)

Annual Corporate Membership(USD one-time payment)
Once your renewal is submitted, your credit card will be charged.

Thank you for your continued support. If you have any questions, please call us at 800-268-9928.

If you prefer to send your form by mail, please print and fill out this page, then mail it with a check or credit card information to:

The Box Project

C/O Community Foundation of Northwest Mississippi

315 Losher St., Ste. 100

Hernando, MS 38632
Should be Empty: