Sponsor Application


Business Name: *
Business Address: *
Mailing Address (if different):
Phone Number: *
Type of Business: *
Does your business have a website? *	Yes No
Business Website:
Does your business have an email address? *	Yes No
Business Email Address:
Contact Person: *
Contact Phone Number (if different than above):
Contact Email Address (if different than above):
Business Name, as you would like it listed on any banners, signs, tshirts, etc: *
Would you like to your logo or business card on our website? (if yes, please email your image to info@louisianamelonrun.com) *	Yes No
I choose Sponsorship Package One for $50.00	True False
I choose Sponsorship Package Two for $75.00	True False
I choose Sponsorship Package Three for $100.00	True False
I choose Sponsorship Package Four for $200.00	True False
I choose Sponsorship Package Five for $300.00 or more	True False
For Package Five, what size t-shirts would you like?
I choose to name my own donation amount	True False
I would like to donate this amount instead:
I would like to donate the following door prizes: *
I will make my donation online *	True False
I will mail my donation in *	True False
Please contact me to receive my donation *	True False
Misc. Notes:
I would like to become a continual sponsor *	True False
Date: *