PA EMS Foundation - Bike Ride/Stars of Life Sponsorship

PA EMS Provider Foundation - Sponsorship Agreement

Support for the EMS Memorial Bike Ride and Stars of Life Awards Banquet
Company Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Person*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
If you are supporting a specific cyclist, enter their name below.
First and Last Name of Cyclist

Sponsorship Levels*

Message
The PA EMS Provider Foundation is the philanthropic arm of the Ambulance Association of Pennsylvania and is a 501(C)(3) organization. Thank you for your support!
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