Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Contact *

First Name

Last Name

Phone *

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Sponsorship Type *

Please select a sponsorship level. Mail a check to Communities In Schools of the Heart of Texas at 1001 Washington Ave. Waco, TX 76701 or contact Aaron Mize at amize@cis-hot.org to arrange payment.

Platinum - $10,000

Gold - $5,000

Silver - $2,500

Bronze - $1,000