2024 Sponsorship Form
Sponsor Name
*
Contact Name
*
Phone
*
Email
*
Physical Address
*
Mailing Address
*
Will you have a booth?
*
Yes
No
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Logo
*
Authorization
*
I authorize NDStrong to process an automatic withdrawal from the card information provided.
Card Information:
*
Card Number
Expiration Date (MM/YY)
Security Code (3 numbers on the back)
Name on Card
Zip Code
Sponsor Payment Amount
*
$125
$250
$500
$1000
$3000
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Signature
*
Clear
Date
*
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