|
Business
Name |
___________________________________________________________________ |
|
Business
Address |
___________________________________________________________________ |
|
City |
_____________________________ |
Zip |
_____________________________ |
|
Business
Phone |
_____________________________ |
|
|
|
|
|
|
Business
Web Site |
___________________________________________________________________ |
|
|
[ ] I would like my website link to appear on
the SCSO Sponsors Page. |
|
Email
Address |
____________________________________________________________ |
|
|
|
|
|
|
Authorizing
Agent |
_____________________________ |
|
_______________________________ |
|
|
(Print
Name) |
|
(Signature) |
|
|
|
|
|
|
Billing
Address
(If Different) |
_____________________________ |
|
|
|
City |
_____________________________ |
Zip |
_______________________________ |
|
|
|
|
|
|
Level
of Sponsorship |
[ ] Platinum (Full Page Program Ad) |
$100 |
|
(Level
Definitions) |
[ ] Gold (1/2 Page Program Ad) |
$50 |
|
|
[ ] Silver (1/4 Page Program Ad) |
$25 |
|
|
Be
Sure To Include Your Advertisement With This Form!
|
