Name of Business:

 Name of Contact:

   E-Mail Address :

Mailing Address to Receive Sponsor Appreciation Packet

  Street Address: 

       City /ST/ZIP:

My business pledges: check sponsorship level that applies

Chiefs Level------------------------------------------------Negotiable

Assistant Chief Level-------------------------------------$10,000

Captains Level--     --------------------------------------- $5,000

Lieutenants Level------------------------------------------$2,500

Firefighter --------------------------------------------------$1,000

Rookie Level-----------------------------------------------$500.00

Junior Fire Fighter-----------------------------------------$100.00

I also want to donate In-Kind to promote my business as a sponsor

I do not want to donate In-Kind to promote my business as a sponsor

Check all that apply:

            I would also like to Donate: Check All that apply

                                 prizes to Firefighter Challenge

                                 prizes to Chili Cook-Off

                                contestant goody bags

                                food/beverage for Contestants or VIP area (water is highly needed)

                                gift certificates, coupons, cozies, key Rings, business paraphernalia