Lakers All Star Cheerleading
Sponsor Information Form

Company Name:______________________________________

Amount:____________________________________________

Contact Person:____________________________________

Cheerleaders Name:_________________________________

Please Check one:

[ ] Individual Sponsor-$25 or less
[ ] Silver Sponson-$30-$95
[ ] Gold Sponsor-$100-$195
[ ]Platinum Sponsor-$200 or more

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GOLD AND PLATINUM SPONSORS, PLEASE COMPLETE THE FOLLOWING:

Email Address:_____________________________________

Website Address:___________________________________

If you would like, you may include a brief personal message
to one or more of the squad members:
___________________________________________________

__________________________________________________
(Your comments will be included with your on listing)

Please make checks payable to WALLENPAUPACK YOUTH CHEERLEADING.

THANK YOU FOR YOUR SUPPORT!!!!!!!!