Name *

First Name

Last Name

Phone *

(###)

###

####

Best Time To Contact *

9am-12pm

12pm-3pm

3pm-6pm

If accepted to be an affiliate, would your organization be willing to exclusively wear 2Twleve uniforms? *

YES

NO

If selected, would you agree to share a content folder with Prospect Dugout to allow us to promote your teams and organization? *

YES

NO