Register the Hall of Fame

2008 Sponsorship Form

Please print, then mail this form

Please complete and mail this form in its entirety.

Name:	___________________________________
Company:	___________________________________
Street Address:	___________________________________
City:	___________________________________ State: _____ Zip: __________
Phone:	(_____)_____-________ Fax: (_____)_____-________
Email:	_________________________________________________

Sponsorship Level: (choose one)	$10,000 Most Valuable Partner $7,500 All Star Partner $5,000 Grand Slam Partner $2,500 Triple Crown Partner $1,000 Championship Partner $500 ADHOF Team Player
Method of Payment:	ADHOF's Tax ID #: 38-3493340 Check (payable to Michigan Athletes with Disabilities Hall of Fame) Visa Mastercard Discover AMEX Card Number: ___________________________ Exp.: _________ (mm/yyyy) Authorized Signature: ____________________________ Billing Street Address: _________________________________ City/State/Zip: ____________________________________

Please return completed forms to:

Athletes with Disabilities Hall of Fame
2845 Crooks Road
Rochester Hills, MI 48309

Attn: Jessica Filippis

Questions may be directed to Meggan Tripp @ 248-829-8225