GOLD - $50                       SILVER - $30                      BRONZE - $25


         SPONSOR NAME (as you want it to appear on the Sponsor Page):



    ______________________________________________________________________________



Your Name ________________________________________________________________________

Address_____________________________________________________________________________                      

City __________________________State_______Zip_________ Cell Phone_______________________

Level of Sponsorship (circle):  Gold     Silver     Bronze       Amount Enclosed - ______________

Please make all checks payable to:  The Mat Slap
   
Please send your remittance to:      The Mat Slap
                                                             23 Bonnie Kay Court
                                                             Sayville, NY  11782

                                          THANK YOU FOR YOUR PATRONAGE

                                                      www.thematslap.org