Intent to Sponsor Form

After you complete this form, you will have the ability to pay for your sponsorship online.
Sponsorship deadline is August 31, 2011 (*Platinum Wheel marketing deadline is June 30, 2011). For additional information, please contact Tiffany Denniston at 309.682.3500.

Business Information

Business Name
Contact Person
Address Phone E-mail	City, State, and Zip Fax Website

Level Of Sponsorship

Platinum Wheel - $5,000
Titanium Wheel - $2,500
Gold Wheel - $1,000
Silver Wheel - $500
Bronze Wheel - $250

Payment Information

Please invoice me
Paying by check
Paying On-line

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