CONTACT INFORMATION Company Name Contact Name & Title Street Address City State Zip Code AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Email Phone BILLING INFORMATION (IF DIFFERENT FROM ABOVE) Contact Name & Title Email Phone SPONSORSHIP LEVEL Platinum $5000Gold $3,000Silver $750Bronze $500Champ $250Well Wisher $100OtherIn-kind Contribution Add Other Amount $ In-kind contribution description Fair Market Value (estimate) PAYMENT Check by mailInvoice mePay Online * For online payments visit: https://rosecityclassic.org/sponsors after submitting the request form. Digital Signature Clear
