CORPORATE PARTNERSHIP FORM Please enable JavaScript in your browser to complete this form.1, Please note that the information you provide is confidential and should be of utmost sincerity, as it serves as an important criteria for both determining and evaluating our prospective relationship with you. Is that alright by you? *YESNO(Others)..please state your reasons?2. Name of organisation or company *3. Phone contact *4. Email Address *5. State(s) and Country (or countries) of residence *6. What services do you provide? *7. How can MOPCARE further the cause of your organisation, and create the needed leverage for your brand? *8. On the scale of 1-10, How important is your response to the immediate question (4) above, to your organisation's progress? *In monetary terms, how much premium (in USDollars) can quantify your utmost expectation regarding the progress & outcome of our prospective relationship? 0-499 USD quarterly? 500-4,999 USD quarterly? 5,000-49,999 USD quarterly? 50,000-499,999 USD quarterly? 500,000-4,999,999 USD quarterly? 5,000,000-49,999,999 USD quarterly? 50,000,000-499,999,999 USD quarterly? 500,000,000-4,999,999,999 USD quarterly? 5,000,000,000-50,000,000,000 USD quarterly? 50,000,000,000-500,000,000,000 quarterly? 500,000,000,000 quarterly and above?9. Please choose any of our service(s) that may be of importance to your brand. Further explanations will be provided in the next phase of our discussion. *Partnership with one (or more) MOPCARE broadcast series on Radio (either in one or more countries/states as the case may apply)Partnership with MOPCARE online campaign(s), broadcast(s) and sensitization(s)Partnership with the MOPCARE Seniors connect (the monthly Seniors gathering)Philantropy: The "Feed-A-Senior" initiative, which is a subsidiary of "Mopcare Senior Assist" program which holds every month.Philantropy: Another "Mopcare Senior Assist" subsidiary that caters for surgical and medical bills of seniors with specific health condition(s).Philantropy: Mopcare Legal and Advocacy, which handles litigation and/or legal matters directly or indirectly. Your partnership assists to sort the cost implications on behalf of the seniors.Direct Partnership with MOPCARE in financial support for the administrative and welfare costs involved.10. Please note that we are committed to keeping you abreast of valuable opportunities for profitable partnerships as they evolve. This we provide as part of our added value to our partners. *Yes I understandNo I don't understand*** We will communicate with you soon. Thank you ***SUBMIT FORM
