Become a Sponsor

Contact Information

Tell us how we should contact you.

First Name: *

Last Name: *

Address 1: *

Address 2:

City: *

State: *

Country: *

Phone: *

What is the best number at which to reach you if we have any questions regarding your sponsorship?

Email Address: *

Preferred Method of Communication: *

Phone

Hobbies/Skills/Talents:

Briefly tell us what your interests are so we keep them in mind as we make event preparations.

Employment Information

Employer:

Title:

Membership Level: *

Individual

Family

Business

Individual: Allows 1 registered sponsor access to our exclusive events.
Family: Allows up to 4 registered sponsors access to our exclusive events.
Business: Allows all registered business sponsors access to our exclusive events.

Sponsorship contributions are collected YEARLY using the same payment method.

Form of Payment: *

Check

Money Order

Credit Card

How do you wish to pay for your membership? We will contact you to follow up.

Dominican International Association

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Become a Sponsor