Soccer Sponsorship Form - 2010/2011 Soccer Season

Please check the appropriate line below and return this form by June 1, 2010 to the address  below

________ - YES, I would like to become a sponsor for the upcoming 2010/2011 soccer season. 
 Please supply the following information. :

Contact Name:___________________________________________________________________________

Street Address:__________________________________________________________________________

City/Town:______________________________________________________________________________

Telephone Number:_______________________________________________________________________

Attention : _____________________________________________________________________________

E-mail Address : _________________________________________________________________________

Business Web site  Address :________________________________________________________________

                   ( will be  a hotlink from  the league website :    www.lagrangesoccer.org )

Name to be printed on shirt:________________________________________________________________

 Fee  $125.00 per team sponsored    (Please enclose with remittance and mail with this form) 
 Sponsoring more than one team ?                              Yes     No   (please circle one)

(please fill out a separate form for each team you plan to sponsor)  

Special Requests  (All Optional) :  we will do our best to honor all requests

- Child / Children to be placed on the team that you are sponsoring

________________________________________________________________   

________________________________________________________________

- Coach  for the team you are sponsoring _______________________________    

- Age  group of team  ______________________________________________

- Color of team shirt :   First choice ___________________________________

                              Second choice __________________________________

Please mail this completed form along with your check (payable to LaGrange Soccer League, Inc.)  to :

         LaGrange  Soccer League, Inc.

         P.O. Box 101     

LaGrangeville, N.Y.  12540

Attn.:  Kara Gaddonniex, Sponsorship Director