* Required

We are honored to recognize you as a member of Our Lady of Good Counsel High School's Community Partners Program. Your generous contribution directly supports Good Counsel's endowment fund, which secures the future of Good Counsel and will benefit our students in perpetuity.

Please fill out the membership agreement form below. If you have any questions, please contact Julie Potter, Chief Advancement Officer at jpotter@olgchs.org.

Organization Namerequired

As you would like to be recognized in all marketing materials.

Logo

If you are a renewing community partner and your logo hasn't changed, please disregard. If you are a new partner or your logo has changed, please attach your organization's current, high-resolution logo.

Max file size: 10 MB

Business Address 1required

Address 2

Cityrequired

Staterequired

Ziprequired

Primary Contact First Namerequired

Primary Contact Last Namerequired

Emailrequired

Phonerequired

Ext

2023-2024 Community Partner Membership Levelrequired

Diamond Falcon Payment Optionrequired

Platinum Falcon Payment Optionsrequired

Gold Falcon Payment Optionsrequired

Blue Falcon Payment Optionsrequired

Test Payment Optionsrequired

2024-2025 Partnership Commitment

Select if you are interested in committing to an additional year of membership at the above listed level and rate.

Yes, I pledge the partnership level selected above for an additional year

2024-2025 & 2025-2026 Partnership Commitment

Select if you are interested in committing to an additional two years of membership at the above listed level and rate.

Yes, I pledge the partnership level selected above for an additional two years

Blue and Gold Deal

If you would like to offer a standing discount to the Good Counsel Community, please describe with any exclusions/restrictions.

Donation Designation

Community Partner membership fees support Good Counsel's endowment fund. However, if you are interested in designating the donation portion of your membership in a different way, please write in your designation below: (Ex. Softball, STEM program, Science Department, Basketball Tournament, etc.)

Comments:

Please use this field to identify any specific partnership details. (Ex. "Advertising-Only" Partner).

*Click "Submit" and you will be redirected to our secure credit card payment page.

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

Email Address :