Let’s make a difference Company name Your name * First Name Last Name Your email * Please check the box if you would like to subscribe to our monthly newsletter, The Wellspring. Location Website Do you have an estimated annual donation in mind? If so, pick the corresponding partnership tier. If not, choose "other" and we'll sort it out together. Wellspring Partner: Giving of $20,000 per year Changemaker Partner: Giving of $100,000 per year Visionary Partner: Giving of $250,000+ per year Other: Amount is unknown or less than $20,000 How did you hear about us? "A Long Walk to Water" Salva Dut TEDx Talk Linda Sue Park TEDx Talk Donation/Annual Appeal Social Media Direct Mail Website Colleague Word of mouth Other If you selected "other," in the question above, please elaborate. Is there anything else you would like to share with our team? Thank you!