Online Application for Sponsorship

Complete the following form & Submit.
You will be directed to the PayPal website
to complete your payment.

* Required information.
* New Sponsorship               * Renewal - ID# 
Organization:
 *
Contact Person:
 *
Title:
 *
Certifications:
Address:
 *
City:
 *
State:
 *
Zip:
 *
Work Phone:
 *
Fax:
Email:
 *
Demographic Data:
Please check one of the following options to indicate the nature of your organization:
 *
If you work for a nonprofit organization,
do you work in a: 
To be included in the Donors' Corner series of web links, The American Council on Gift Annuities requires that each charity requesting a link on ACGA's web site signifies its support of the Model Standards of Practice for the Charitiable Gift Planner by agreeing to the following statement, from an officer of the charity:

On behalf of my organization, I certify that I have read and subscribe to the Model Standards of Practice for the Charitable Gift Planner and that I represent a qualified charity with an active gift annuity program. I further certify that all persons with gift planning responsibilities in this organization are aware of and abide by these standards.

By checking this box I certify & agree to the above statement.
Name:
Web Site URL:
http://

Sponsorship Fee:
$100 - One fiscal year
(July 1 - June 30)
Special discount!
$275 for three years

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