Partnership Form

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Partnership Form

Community Hope International Partnership Form

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Or Have Questions
336-366-3100
community01@surry.net

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I am a

Business

Church

Profession

Organization

Community Group

Individual Partner

Other

Please Select One

CHI

AOF

Both

Donors/Funders/Individuals Please select Box

Ruby ($1,000,000 Plus)

Topaz ($500,000 Plus

Diamond ($250,000 Plus)

Beryl ($100,000 Plus)

Onyx ($50,000)

Jasper ($25,000 Plus)

Sapphire ($10,000 Plus)

Emerald ($5,000 Plus)

Carbuncle ($1,000 Plus)

Gold ($500 Plus)

Other Financial Giving

Will You Provide

Land Grant

Building

Food

Clothing

Other

Partner Commitment

Individual

Business/Organization

Church

Name:

Last Name:

Organization /Business Individual Church

Phone:

Address:

City:

State or Province:

Postal (Zip) Code:

Country:

Email:

Current Website Address:

Other Comments:

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Contact info

community01@surry.net

Community Hope International
P.O. Box 267 Dobson, NC 27017

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