Yes, I want to keep Delaware Grapevine going.
Please sign me up.
____ Gold
Sponsor
$5000 Includes special recognition
on the host Web site
____ Silver
Sponsor
$2500 Includes special recognition on the host
Web site
____ Business
Subscriber $1000 Includes
listing online
____ Personal
Subscriber $500 Includes
listing online
____ Supporter
Please print this page and
send it along with your contribution payable to:
Delaware Grapevine LLC
16 Martine Court
Newark, DE 19711
Name_____________________________________________________________
Address___________________________________________________________
City________________________
State_____________ Zip________________
Telephone___________________ E-mail
address_________________________
____Yes, please identify me
online as____________________________________
____ No, I do not wish to
be identified online
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