Sponsor Application Form

BUSINESS NAME: *
BUSINESS REPRESENTATIVE NAME*

First NameLast Name
Phone Number:*
E-mail Address:*
example@example.com
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
HOW DID YOU HEAR ABOUT OUR EVENT?*

Walk-InEmployeeNewspaper AdFacebookOther (please specify)
BUSINESS LOGO:*

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INFORMATION YOU WOULD LIKE US TO HIGHLIGHT ABOUT YOUR BUSINESS (ex: slogans, services provided, how long you've been in business):*
WHICH TIER ARE YOU?*
WILL YOU BE DONATING PRODUCT, SERVICES, VOLUNTEERS, OR MONEY?:
If you have any questions or concerns please reach out to us at bash@sta4.com!

To send physical checks please send them to the address below:

Franklin Fire Co.

Attn: President James L Hull Jr

158 W. King Street

Chambersburg, PA 17201
Donation Amount

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USDPLEASE ENTER THE AMOUNT IN WHICH YOU WILL BE DONATING FOR THE EVENT IF YOU ARE DONATING MONEY!
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: