Sponsor Registration Form
Sponsor Registration
Year Round or Single Event
Name: (Individual or Org./Bus.) (*)
Please type your full name.
If Org./Bus., Contact Name:
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If Org./Bus. who will be attending?
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Address:
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City:
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State:
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Zip:
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Phone: (*)
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Fax:
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E-mail (*)
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I have chosen to be a Year Round Supporter (select one)
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Single Event Sponsor Only (select one)
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Event Sponsorship Designation
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Sponsorship Level
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Payment Type (Select One) (*)
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If you are paying by check, please remit to HMHBGA, 2300 Henderson Mill Rd., Suite 410 | Atlanta, GA 30345
Please enter security code Please enter security code
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If you are to be billed, please select the date:
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Form submission will take you to the payment page. Please disregard if you are to be billed or if you are sending a check.