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Becoming a Sponsor

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

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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 (or credit card information) to:

Leadership Northwest Missouri
c/o Deb Powers, Executive Director
Heartland Foundation
518 S. 6th Street, St. Joseph, MO 64501

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Make checks payable to Heartland Foundation, note on check:
Leadership Northwest Missouri sponsor

Heartland Foundation can now accept credit cards for payment: VISA and MasterCard.
If you wish to pay by credit card, please call us after you submit your pledge above with
your credit card number, name on card, card billing address, and expiration date.


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