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Becoming a Sponsor

Please complete the Sponsorship Form below to pledge your commitment for financial support.

Contact Person:

Title:

Organization:

Mailing Address:

City:

State:

Zip:

County:

Phone:

Email Address:

Pledge Amount:

Method of Payment:

 Check  VISA MasterCard (See Below)

Please print a copy of this pledge and send along with your check to:

Leadership Northwest MissouriSM
Attn: Mark Garges
P.O. Box 92
Cameron, MO 64429

For more information, contact:
Lisa Luke, LNWMO Program Coordinator
 660-582-1050

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Make checks payable to Leadership Northwest Missouri,
note on check: Sponsor

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