Sponsorship Form for CD-ROMs

PLEASE FAX THIS FORM TO 765-494-0517

Name of Company: ______________________________________________________________

Contact person for billing: __________________________________________________________

Address: ______________________________________________________________________

______________________________________________________________________________

Email: ________________________________________________________________________

Phone: _______________________________    FAX: _________________________________

FedEx account number (YOU PAY SHIPPING): ______________________________________

Contact person for web site material: ________________________________________________

Email: _________________________________________________________________

Phone: _______________________________

 

CDROM to be sponsored ______________________________________

 

Sponsorship level:    ____ Major     $4,000           ____ Significant     $2,000           ____ Valued     $1,500

 

Number of additional disks desired:(These are for your company's use or distribution)
___________ $2 ea (Major Sponsors)
___________ $3 ea (Significant & Valued Sponsors)

 

PLEASE FAX THIS FORM TO 765-494-0517