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Please provide your contact information:*
First Name
Last Name
Title
Organization
State
Email
Phone
Your Industry or Area of Influence*
Education industry
Security and Safety Industry
Public Safety & Law Enforcment
Government
Community/Concerned Citizen
Other (Please specify)
Please indicate participation level*
Board level
(Contribution required)
Trustee level
($10,000 contribution required)
Partner level
($2,000 or in-kind contribution required)
Advocate level
(Donation accepted, but not required)
Contribution or Donation Commitment Amount
(Please note: Contribution payment instructions will be sent separately.)
I consent to be listed on the Secure Schools Alliance website.*
Please use my name and organization name only
Please use my name only
Please use the organization name only
I do not consent to be listed
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