Clone of OrangeCon Trophy Sponsorship Form

Click to edit

Month Day Year Hour Minutes AM/PM Option
Full Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail
Phone Number

Area Code Phone Number
The cost per Trophy Package is $40.00
Number of Trophy packages you wish to sponsor?

One Two Three Four Five
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:

yes
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:

Yes
Order through Pay Pal
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Trophy Sponsorship $ 40.00

Number of Trophy Sponsorships

Total $ 0.00
Should be Empty: