Sponsor Registration Form

Name(Required)

First Last

Business Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Person(Required)

Email(Required)

Enter Email Confirm Email

Phone(Required)

Select your desired sponsorship level(Required)

Top Shelf - $1000:
8 Entry Tickets - Prominent signage on band stage - Additional signage throughout event - Business logo on all marketing and press materials - Recognition from entertainment

Premier - $750:
6 Entry Tickets - Signage on band stage - Business logo on all marketing materials - Additional signage throughout event - Recognition from entertainment

Value: $500:
4 Entry Tickets - Signage on band stage - Business logo on all marketing materials - Additional signage throughout event

Bar Tab: $250:
2 Entry Tickets - Business logo on various signage throughout the event

Total

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Sponsor Registration Form

Title