Pay By Check Become a Patriot Partner (Pay by Check) Company / Organization InformationCompany / Organization Name*Contact Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email PhonePartnership LevelPartnership Levels are: Platinum ($2,500-4,999) Diamond ($5,000-7,499) Patriot ($7,500+) Please mail check to NGAMS Patriot Partnership Program Attn: Greg Taylor PO Box 627 Jackson, MS 39205Your logo, website and contact informationYour logo and other information will be included on our website in your partner listing.Your LogoPlease attach a logo that we can include on our website. Allowed file types: JPEG, PNG, EPS, PDF, or Adobe IllustratorAccepted file types: jpg, jpeg, png, eps, ai, pdf.Your Website Address Your Contact InformationPlease include the contact information that you would like included on our website in your partner listing.
