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Get Sponsorship Opportunities Registration From - St. Cloud State ... - Stcloudstate

M 1200 Roosevelt Road, St. Cloud, MN Name (First) (MI) (Last) Company Title/Position Address State AL City Zip Code Phone Number Fax Number SS# (last 4 digits) Birth Date MM/DD/YYYY (for CEUs/transcript purposes only) Email The information on this form is private data, used to identify and locate you. Name, address, and payment method are mandatory. Sponsorship Level: Level I: $1,000 Level II: $750 Level III: $500 Level IV: $250 Payment Information: Check or Money Order in the am.

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