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Desert Council Registration

Company Infomation:
Corporate/Business Name
Street Address or P.O. Box
City
State
Zip Code
Telephone ( )
Fax ( )
Our company has a gift matching program: Yes No

Corporate Representative (mail will be addressed to this person):
First Name
Middle Name
Last Name
Title
Telephone ( )
Fax ( )
Email


Membership Selection:
The membership level is based on the initial gift to the Garden:
Palo Brea $20,000+
Palo Verde $10,000 - $19,999
Mesquite $5,000 - $9,999
Ironwood $2,500 - $4,999
Acacia $1,250 - $2,499
Desert Willow $500 - $1,249
Cascalote $250 - $499
Gift Amount: $