Clone of OrangeCon Trophy Sponsorship Form

Click to edit

MonthDayYearHourMinutesAM/PM Option

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Phone Number

Area CodePhone Number

The cost per Trophy Package is $40.00

Number of Trophy packages you wish to sponsor?

Please provide the "Sponsored By NAME" as it should appear on the Trophy:

Do you wish to have your sponsorship(s) assigned to where needed:

What categories would you like to sponsor? Please provide a First, second and third preference for your sponsorhip(s). Also, please understand that if all your preferences are already taken, we will assign your sponsorship(s) were needed. Be sure to consult the Category availability listing.

Are you an IPMSOC Member and would like MOTY points:

Order through Pay Pal

Trophy Sponsorship$40.00

Number of Trophy Sponsorships

Total $0.00