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Sponsorship Form

SPONSORSHIP AGREEMENT FORM

PLEASE SELECT DESIRED SPONSORSHIP LEVEL:

Type of Sponsorship

GIFT/IN-KIND DONATION

$RMV:

QUANTITY:

COMPANY NAME:

CONTACT PERSON:

STREET ADDRESS

CITY:

STATE:

ZIPCODE:

PHONE:

FAX:

EMAIL:

PRINT NAME (FIRST, LAST)

By signing this agreement, I commit to provide the selected level of sponsorship for the YMOD Flash Mob. I also understand I am waiving my right to dispute this charge with my bank for claims of services not received or other similar claims of non-service. The undersigned guarantees performance of the financial provisions of this agreement.

SIGNATURE:

Please make your check payable to Young Men Of Distinction and mail to: P.O. Box 19494, West Palm Beach, FL 33416. If paying by Credit Card, please call 561-899-5530

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