Bronze Sponsor

$500.00

Company/Individual Name (as it will appear in printed materials) *

Contact First Name

Contact Last Name

Contact Address

Phone *

Contact Email (lower case only) *

Web site URL

We link your site from our site when you sponsor!

Contact Authorized Signature (electronic signature) *

Do you want to make an additional cash donation? Please enter amount if yes.

I wish to sponsor a kid at $10/kid for t-shirt and race entry

This must be a number!

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