Name of Person Filling Out This Form * First Name Last Name Business Name and Address ( if applicable ) Email * Phone * (###) ### #### Are you and individual or business? * Business Individual What level of sponsorship are you interested in? Business Options: Platinum ($5,000) Gold ($3,000) Silver ($1,000) Individual Options Environmental Champion ($250) Supporter ($100) Message Thank you so much! Sponsorships are accepted through check payable to: Cornell Cooperative Extension Rockland CountyFor questions please contact CCE Rockland Executive Director Jody Addeo atjka64@cornell.edu