Sponsorship Form
Company Name (as you wish to be acknowledged)
*
Contact Name
*
First Name
Last Name
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Company Logo
Browse Files
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of
My Products
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( X )
Captain
$
5,000.00
Pirate
$
2,500.00
First Mate
$
1,000.00
Bounty
$
500.00
Crewman
$
250.00
Salty Dog
$
100.00
In-Kind
$
Free
Notes and special requests, etc.:
Submit
Should be Empty: