Phone Name of Board Member Submitting Form: * Sponsor Info: Company Name: Contact Name: * Mailing Address: * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Phone * Email * Company Website * Repeat Ad from Last Year: * Yes No Are There Changes to the Ad? * Yes No Special Ad Instructions: Sponsor Package Selection: * Please select sponsorship level Single Sponsor $100 Double Sponsor $250 Triple Sponsor $500 Home Run Sponsor $1000 Grand Slam Sponsor $2500 Perfect Game Sponsor $5000 Home Run & Triple Sponsors: Do they want their allotted Ball Park tickets? * Yes No Home Run & Triple Sponsors: Do they want their allotted Pre-Game Tailgate Party tickets? * Yes No SPONSOR APPAREL SELECTIONS ('single' sponsors only): Please indicate desired item and size: Adult T-Shirt: S M L XL XXL
