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Sponsor Form

Sponsorship Level:  (Circle one):  Platinum   $2000     Gold     $1500      Silver $1000  

   Bronze      $500      Web only   $250

Contact Information:

Business Name: ________________________________________________________________________

Address: ______________________________________________________________________________

City: _________________________________  State: ________________________  Zip: ______________

Contact Person: ________________________________________________________________________               

Email Address:_______________________________________ Telephone: _________________________

I would like the following name/company acknowledged exactly as written below:

 ______________________________________________________________________________________

I have enclosed a check for $ _____________   payable to the Hudson Valley R.B.I

Please charge my credit card for $_________   

(Circle one)   Visa   Master Card    American Express    Discover

Credit Card Number ___________________________________________________ Exp Date: _____/_____

Sign and date _________(month), ______(day), 20____.

___________________________________________         ____________________________________________

Print Name                                                                      Signature

If you have any questions or need more information, 

please contact Angel L. Lugo @ 914-450-6188 or alugo@hudsonvalleyrbi.com


Thank you for joining us in partnership to Revive Baseball in the inner cities


  Hudson Valley RBI    208 Townview Dr Wappingers Fall Ny 12590   hudsonvalleyrbi.com   


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