City of Page | Balloon Regatta In-Kind Sponsorship Registration

* Required field

Date: *

Business Name: *

Contact Name: *

Mailing Address: *

City: *

State: *

Zip: *

Email Address: *

Phone: *

Please specify what In-Kind Sponsorship Products or Service your business will be donating. Include details, such as days/times and specific information. *

What do you estimate the pre-tax value of your in-kind donation amount to be? *

Would you like the City of Page to supply you with a Tax Donation Form? *

Yes

We understand that pilots and sponsors may have developed a relationship over the past years. Do you have a pilot from the past who you would like us to try to link you with? *

Yes

If yes, who?

Your business will be featured in the 2022 Event Program!
Please email your logo and ad copy to:

Sheri Ptacek / sptacek@pageaz.gov

Sponsorship questions may be directed to Sheri Ptacek / sptacek@pageaz.gov - or - 928-645-4201.

#	Item Description	Amount	Subtotal
1	Titanium Sponsorship	$2,500.00	$2,500.00
2	Platinum Sponsorship	$1,000.00	$1,000.00
3	Gold Sponsorship	$500.00	$500.00
4	Silver Sponsorship	$300.00	$300.00

Total

$4,300.00

Payment Information

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone *

Email *

Please confirm your signature by typing your full name in the box below.

I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature.