Main Menu

Explore More

Share to FacebookShare to TwitterShare to LinkedInShare to PinterestShare to EmailPrint this page

Required

CAPSS Business Partner Program 2022-2023

 

PARTNERSHIP APPLICATION

PARTNERSHIP LEVEL
50- to 100-WORD COMPANY PROFILE (Required for Partner Level only)
Business Category
Other Business Category
Company Information
Your Namerequired
First Name
Last Name
Titlerequired
Email Addressrequired
Phone Numberrequired
Company Namerequired
Company Address (Street, City, State, Zip Code)required
Company Website URLrequired
Facebook
Twitter
ADDITIONAL CONTACTS
Signature of Company Representative
Namerequired
First Name
Last Name
Titlerequired
Today's Daterequired
Must contain a date in M/D/YYYY format
Signature

Upon receipt of your Application, we'll send you an invoice.
The Partnership will proceed upon receipt of payment and is valid for one year from this date.

Questions? Contact

Paulien K. Rorick
Staff Associate for Digital Communications
(860) 236-8640 x170
prorick@capss.org