Club Membership Registration Form

Bed Race Sponsorship Application

Complete the form below to sign up to be a sponsor.
Name *

First Name Last Name
Business Name *
E-mail *
Phone Number: *

Area Code Phone Number
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Sponsorship Levels
Which Level would you like to sponsor?

Elite Partner Platnium Gold Silver Friend Sponsor An Activity

My Products

Elite Sponsorship Level $ 4,000.00

Partner Sponsorship Level $ 2,500.00

Platinum Sponsorship Level $ 1,000.00

Gold Sponsorship Level $ 500.00

Silver Sponsorship Level $ 250.00

Friend Sponsorship Level Free

Total $ 0.00

Bed Race Sponsorship Application