EmpowHER Corporate Partnership Form

EmpowHER Corporate Partnership

Let’s discuss how your company can support our initiatives:

Company(Required)

Name(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

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Phone

How did you hear about Teal Diva?

Internet Search

Referral from other organization

Friend or Family

Event or Conference

Social Media

Medical Provider

Support Group or Blog

Other

Message

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Teal Diva is a not for profit, charitable organization formed under Section 501(c)3 of the U.S. Internal Revenue Code. Donations to Teal Diva are tax-deductible as charitable contributions for US federal income tax purposes. There are no donation limits or restrictions on contributions to Teal Diva.
Tax #: 80-0584066