| Kevin's Gate Memorial Walk Sponsorship Registration Form |
| YES! Our company wants to be a sponsor of the Memorial Walk on September 11, 2005 in Lunenburg. |
| _____ Touchdown - $1000.00 (large business logo* on t-shirt and banner with company logo at start/finish of walk) _____ Field Goal - $500.00 (large business logo* featured on t-shirt) _____ 2 Point Conversion - $250.00 (small business logo* featured on t-shirt) _____ Extra Point - $125.00 (sign* placed along walk route) _____ Cheerleading Squad - $25.00 - $100.00 (List of donors / cheerleaders on walk day) |
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| Kevin T. Szocik Memorial Gate P.O. Box 11 Lunenburg, MA 01462 [email protected] |
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| Contact Name: _______________________________________ Company Name: ___________________________________________________ Address: __________________________________________________________ City/State/Zip: ____________________________________________ Phone: ___________________________ Fax: __________________________ Email: _____________________________________________ Please return this completed form with your payment in full (Checks made payable to Kevin T. Szocik Scholarship Fund) to: Kevin's Gate P.O. Box 11 Lunenburg, MA 01462 * Please send image of company logo as you would like it to appear on the shirt and/or sign. |
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