MS Warriors Sponsorship Form

MS Warriors & Support Angels Sponsorship

Riding for Research
Please fill out the form below for online sponsorship registration. You may also pay by check or money order. Checks/MO must be received by September 7 to guarantee your name/logo to be printed on T-Shirts and for a private donor to receive a FREE T-Shirt. Checks/MO received after September 7 will receive all other promotions.

Please make checks out to:

MS Warriors & Support Angels

9148 Gila Drive

Cincinnati, Ohio 45251

* A $35.00 fee will be charged for any returned checks
Company Name
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

Sponsorship Levels

Royal Flush $ 2,000.00

Straight Flush $ 1,500.00

Four of a Kind $ 1,000.00

Full House $ 500.00

Private Donation $ 100.00

T-Shirt

Total $ 0.00

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

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

Should be Empty:

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