Pine Ridge Rebels Sponsorship Form

Athlete Name

First NameLast Name

Business Name

Point of Contact

First NameLast Name

E-mail

example@example.com

Contact Number

Format: (000) 000-0000.

Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Logo Upload

Black & White Logos Required for Shirts & Vests, Color Logos are Required for Banner.

Sponsor Levels: CC donations will incur a 3% processing fee. To circumvent this fee, please fill out the paper form & send in cash or check payment with the athlete or mail checks to Pine Ridge Rebels 855 Hayes Ridge Road, Indian Mound, TN 37079.

Rebel Friend

If you would like to donate more than $25, please select the Appropriate Level (up to $100). Rebel Friends will receive a Thank You note signed by each Team Member & Coach and Mentions on our Website & Social Media.

$25.00

Rebel Partner

Rebel Partners will receive Friends Benefits + Printed Name on Shirts & Banner.

$250.00

Rebel Champion

Rebel Champions will receive Friends, Partner Benefits + Logo on Competition Vests, Shirts & Banner.

$500.00

Rebel MVP

Rebel MVPs will receive Friends, Partner & Champion Benefits + Logo on Competition Vests.

$1,000.00 Quantity

Subtotal

Tax

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Sponsorship/Donation Form

Sponsor Levels: CC donations will incur a 3% processing fee. To circumvent this fee, please fill out the paper form & send in cash or check payment with the athlete or mail checks to Pine Ridge Rebels 855 Hayes Ridge Road, Indian Mound, TN 37079.