City of Page | Balloon Regatta Monetary Sponsorship Registration

* Required field

Date: *

Business Name (for banner): *

Contact Name: *

Mailing Address: *

City: *

State: *

Zip: *

Email Address: *

Phone Number: *

Choose Sponsorship Level: *

Shirt Size/Quantity:

Small:

Medium:

Large:

X-Large:

2X-Large:

3X-Large:

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

Yes

If Yes, Who?

Will you be able to supply us with a logo? *

Yes

Will you be able to provide ad copy for the event program? *

Yes

Please email your logo and ad copy to: Sheri Ptacek – sptacek@pageaz.gov

~ Flights are not guaranteed; all flights are at the discretion of the individual pilot and dependent upon weather conditions. All potential passengers must sign a waiver provided by the pilot before the flight.

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.