Sponsorship Form

YES! We want to support KMB’s efforts toward a cleaner, more beautiful Midland!

Please fill out and submit this form. Then click the Give Lively or PayPal button if that was your payment choice. Thank you!

Business Name
Contact/Individual Name Contact/Individual Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Main Contact Email
Program or Event You Want To Support
Sponsorship Level: (Choose One)

Sponsorship Level: (Choose One) "Inspire" ($5,000) "Take Action" ($2,500) "Engage" ($1,000) "Advocate" ($500)
Payment Options: (Choose One)

Payment Options: (Choose One) Give Lively (see link below) Paypal (see link below) Check To Be Dropped Off/Mailed Invoice Me