New Partner Agreement

You (an individual/household, a company with a designated partner, or a foundation with a designated partner) can become a partner in Social Venture Partners Boulder County by making a tax-deductible contribution (minimum of $5,000 each year for three years).

To become a Partner:

Complete this form, print, sign, and date it.
Mail the printed copy of the page (along with a check, if applicable, payable to Social Venture Partners Boulder County) to:

Social Venture Partners Boulder County
1123 Spruce Street
Boulder, CO 80302

Name(s): (individual or couple)

Name of Spouse: (if joining individually)

Preferred Address:

City:

State:

Zip:

Home Telephone:

Business Telephone:

Preferred Email:

Method of Payment:

�

	I enclose a check in the amount of $ .
	I will make payments in installments of $ each, on the following dates: .
	Employer matching funds will be sent in the amount of $ .
	I will make payment through a contribution of stock. I will contact Janelle Weissman at 303.442.0436x114 for transfer instructions.

I agree to contribute a minimum of $5,000 each year for a minimum of three years to Social Venture Partners Boulder County.

_____________________________________

Signature

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Date