subject_line
ParaPsyCon III Sponsorship/Donation
By completing this form, the sponsor listed below agrees to allow us to promote them according to their chosen Sponsorship level.
Name of organization
*
Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
Washington DC
Zip Code
*
Contact name
*
Contact phone
*
Contact email
*
Sponsorship details
Sponsorship Level - Please make check out to Black Shamrock Events, LLC
Crystal Level $5000
Turquoise Level $2500
Jade Level $1000
Onyx Level $750
Jasper Level $500
Tiger Eye Level under $500
Tiger Eye Level Amount you will sponsor
Please attach your logo for promoting purposes
Donation Amount - Check made out to MRPS
All checks, Black Shamrock Events, LLC and/or MRPS, should be mailed to:
9045 Franklin Drive
North Ridgeville, OH 44039
Powered by