Pine Ridge Rebels Sponsorship Form

Business Name*

Point of Contact*

First NameLast Name

E-mail*

example@example.com

Contact Number*

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Logo Upload

Black & White Logos Required for Shirts & Vests, Color Logos are Required for Banner.

Sponsor Levels: CC donations will incur a 3% processing fee. To circumvent this fee, please fill out the paper form & send in cash or check payment with the athlete or mail checks to Pine Ridge Rebels 855 Hayes Ridge Road, Indian Mound, TN 37079.

Rebel FriendIf you would like to donate more than $25, please select the Appropriate Level (up to $100). Rebel Friends will receive a Thank You note signed by each Team Member & Coach and Mentions on our Website & Social Media.

$25.00

Rebel PartnerRebel Partners will receive Friends Benefits + Printed Name on Shirts & Banner.

$250.00

Rebel ChampionRebel Champions will receive Friends, Partner Benefits + Logo on Competition Vests, Shirts & Banner.

$500.00

Rebel MVPRebel MVPs will receive Friends, Partner & Champion Benefits + Logo on Competition Vests.

$1,000.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Sponsorship/Donation Form