Partnership Signup - Welcome to Central Oregon

Business Name*
Contact
First Last
Primary Phone*
Toll-Free Phone
Billing Address*
Street Address Address Line 2 City State ZIP Code
Physical Address (if different)
Street Address Address Line 2 City State ZIP Code
Email
Web Address
Facebook
Twitter
Business Description for Website
up to 500 words. COVA reserves the right to edit for optimization.
Partnership Benefit Levels - Annual Fee 7/1/19 - 6/30/20*
- Bronze Partner: FREE
- Silver Partner: $300
- Gold Partner: $600
- Platinum Partner: $1200
- Diamond Partner: $3000
Total
$0.00
Payment Type
Credit Card

Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
CAPTCHA