Please RSVP by Sept 30, 2017 - SPACE IS LIMITED!
2017 CH and VA ATSSA Chapters MASON-DIXON MIXIN' Bowling Event Registration Lunch (Noon), Meeting (12:30 pm) and Bowling event (2 pm) will be held at Severna Park Bowling Lanes in Severna Park, MD
Please RSVP by Sept 30, 2017 - SPACE IS LIMITED! 50% of all proceeds from this event will be donated to The Foundation Name: Company/Agency: Street Address: City, State, Zip: Phone:
Fax:
E-Mail:
Oct. 11, 2017 (2-4 pm) Mason-Dixon Mixin' Bowling Sponsorships
QTY
Rate
GOLD Sponsorship
Serve as key sponsor with mentions, logo signs, and a full team
$
500.00
SILVER Sponsorship
Serve as event sponsor with logo sign placed on lanes
$
100.00
BRONZE Sponsorship
Serve as event sponsor in Gift Card drawing
$
50.00
Oct. 11, 2017 (2-4 pm) Mason-Dixon Mixin' Bowling Registration
QTY
Rate
Individual Bowler
Lunch, shoe rental, and 3 games of bowling
$
50.00
Team Bowlers
Lunch, shoe rental, and 3 games of bowling for UP TO 5 people
$
250.00
Amount
Amount
Total: List Individual or Team (4-5 people) names below; more than 1 team per company welcome! Non-members and agencies in the industry are welcome to participate.
Credit Card Type:
Card #:
Name on Card: Payments by Check Please make checks payable to: ATSSA Please send this form and payment to: ATSSA ATTN: Allan Gonzalez CH & VA CHAPTERS REGISTRATION 15 Riverside Parkway, Suite 100 Fredericksburg, VA 22406-1022
Exp Date: Signature: Payment by Credit Card Please complete this form with credit card information Fax #: (540) 368-1717 or - Call ATSSA Customer Service with credit card info at (800) 272-8772 or Email to: [email protected]
Please RSVP by Sept 30, 2017 - SPACE IS LIMITED! 50% of all proceeds from this event will be donated to The Foundation Name: Company/Agency: Street Address: City, State, Zip: Phone:
Fax:
E-Mail:
Oct. 11, 2017 (2-4 pm) Mason-Dixon Mixin' Bowling Sponsorships
QTY
Rate
GOLD Sponsorship
Serve as key sponsor with mentions, logo signs, and a full team
$
500.00
SILVER Sponsorship
Serve as event sponsor with logo sign placed on lanes
$
100.00
BRONZE Sponsorship
Serve as event sponsor in Gift Card drawing
$
50.00
Oct. 11, 2017 (2-4 pm) Mason-Dixon Mixin' Bowling Registration
QTY
Rate
Individual Bowler
Lunch, shoe rental, and 3 games of bowling
$
50.00
Team Bowlers
Lunch, shoe rental, and 3 games of bowling for UP TO 5 people
$
250.00
Amount
Amount
Total: List Individual or Team (4-5 people) names below; more than 1 team per company welcome! Non-members and agencies in the industry are welcome to participate.
Credit Card Type:
Card #:
Name on Card: Payments by Check Please make checks payable to: ATSSA Please send this form and payment to: ATSSA ATTN: Allan Gonzalez CH & VA CHAPTERS REGISTRATION 15 Riverside Parkway, Suite 100 Fredericksburg, VA 22406-1022
Exp Date: Signature: Payment by Credit Card Please complete this form with credit card information Fax #: (540) 368-1717 or - Call ATSSA Customer Service with credit card info at (800) 272-8772 or Email to: [email protected]
