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
SPONSOR FORM