This web site is just about ready to go down, I can no longer make changes or edit like I need to.  Please go to the new web site www.ridefortherelay.net.  Sorry but that is the way GoDaddy works.

2013 Sponsor Application

"Ride for the Relay"
Sponsor Application 2013
Check all appropriate boxes below:
Rider (  )  Passenger (  )  Auto (  )  Non-riding Sponsor (  )

Starting Point:_______________ Ending Point:_______________

Name:_________________________________________________

Corporation:___________________________________________

Address:_______________________________________________

City/State/Zip Code:_____________________________________

Telephone:  (        ) ______ - _______________

eMail address:_______________________@___________________

                               
Corporate Sponsor:   (   ) $660
       Pin Sponsor:   (   ) $300
                         Gold Sponsor:   (   ) $66 + $66 = $132
 Silver Sponsor:   (   ) $66
  Rider Sponsor:   (   ) $66

Bronze Sponsor:   (   ) $33

  

Helper Sponsor:___ Prayer Sponsor:___

Special Donation $___________

Send all Sponsorships to:

"Ride for the Relay"
Rodger L. Fox
63 East Central Park Plaza
Jacksonville, Illinois 62650

Make all Checks payable to:  "Ride for the Relay"
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