Corporate Partner Enrollment Form

New York State STOP-DWI Association

Call 585-396-4308 or email suzanne.cirencione@stopdwi.org with any questions


 


Company Contact Information

**Logo images should be RGB - 300px wide - resolution 72 dpi - jpeg or png format**


Payment Information

Send payment to: NYS STOP-DWI Association, Attention: Russell Haag, 25 McCarthy Drive, Plattsburgh, NY 12901


Partnership Level