Partnership (sponsor) – Walk A Mile

THANK YOU for joining Walk a Mile in Her Shoes ^®

Partnership Level

1Personal Information

2Payment Information

Check out our partnership benefits here:
Martin/ St. Lucie Counties Partnership

Name(Required)

First Last

Company

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

County

Partnership Designation Indian River County

Partnership Designation Martin/St Lucie

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

For more information about SafeSpace, visit www.safespacefl.org or contact the Administrative Office (772) 223-2399 Monday to Friday 8:30-5:00. For domestic violence help, call the SafeSpace 24/7 Hotline at 772-288-7023. All programs and services are free of charge to participants.