"*" indicates required fields Since Responsibility.org’s inception, drunk driving and underage drinking have reached record low levels. Drunk driving fatalities have decreased 15% since 1991 and lifetime alcohol consumption among our nation’s youth has decreased 48%. But, there is much more work to do and progress to make. That’s where you come in. As a Corporate Partner, you further underscore your enterprise’s commitment to and leadership in making our nation’s communities, roads and drinking behaviors more responsible by supporting initiatives like those herein. Learn more about this program and apply to become a Corporate Partner below.Company Name* Hereby makes an application to join Responsibility.org as a Corporate Partner. Once such application is approved by the foundation’s Board of Directors, a Corporate Partner is considered a partner in good standing by abiding by all applicable federal, state and local laws and ordinances; by paying such dues as may be assessed annually.Applicant Name* Applicant Title Company Profile* Street Address Address Line 2 City State ZIP Code Telephone*FaxWebsite How do you want your company name to appear for public purposes? Name and contact information of principal corporate officer:Name* Title Email* MobileIs applicant incorporated in the U.S.? Yes No If so, in what state? Desired Partnership Level* Responsibility Champion: $25,000 Corporate Patron: $10,000 Corporate Supporter: $2,500 See page 4 of the membership brochure for specific details. Additional EmployeesName Title Email PhoneAdd Additional EmployeeRemove Additional Employee
