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)

Enter Email Confirm Email

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

Phone

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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