Partner/Sponsorship Form
(Exclusive Hoops is designated as a 501C organization by the Internal Revenue Service, all donations are tax deductible).
Company Name or Individual Name
Company or Individual Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Person
Company or Individual E-mail
example@example.com
Company or Individual Phone Number
Donation Level
Please Select
Blue Sponsor ($500 annually)
Silver Sponsor ($1,500 annually)
Gold Sponsor ($5,000 annually)
Other (indicate amount below
If you clicked other please indicate donation amount below:
Additional Comments
Submit Application
Clear Fields
Should be Empty: