Sponsorship Registration - Lighthouses on The Mag Mile

Name to be listed as Sponsor on sculpture and in communications:*
Business Name (if applicable):
Contact Name:*
Mailing Address:*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Phone*
Email*
Upload Sponsor Logo*
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300 DPI or more
Website
Preferred placement of your lighthouse:*
Phone

This field is for validation purposes and should be left unchanged.