PEER-A-PALOOZA Exhibitor and Sponsorship Registration Form
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ORGANIZATION
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CONTACT NAME
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CONTACT EMAIL ADDRESS
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CONTACT PHONE NUMBER
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Please select which level you are Participating in
Exhibitor, $50
Friends of HUG ME Ink, $250
Advocates, $500
Peer Supporters, $1000
Community Supporters $1500
Recovery Rock Stars, $2500
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Payment Method
Credit Card/Pay online
Mail in Check/Money Order
Drop Off Payment in Person
I understand my registration is not complete until I have submitted payment. Once I submit this form, I will be sent an invoice to pay based on selected Payment Method above.
Accept
Decline
