Hilliard/Ray Patch Family YMCA

3^rd Annual Midnight Madness Invitational Swim Meet

BRONZE PARENT SPONSOR INFORMATION

Name ________________________________________________________________________

Email:________________________________________________________________________

Address ______________________________________________________________________

For Billing Purposes

City_________________________________ State_______ Zip Code______________________

Home Phone #__________________________ Cell #_______________________________

Midnight Madness Bronze Parent Sponsor Level - $25.00

Note: All donations are tax deductible

BRONZE PARENT SPONSORSHIPS ARE LIMITED TO THE FIRST 34 ENTRIES RECEIVED!

Bronze Parent Sponsorships entitles the sponsor to a listing comment in the Midnight Madness Heat Sheet. Please include your listing comment below (limit 36 characters, including spaces). Example: “Good Luck John!” or “We’re Behind You Sally!”

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Preferred Payment Method

( ) Check Enclosed ( ) Invoice ( ) Charge Credit Card using information provided

Credit Card

( ) VISA ( ) Mastercard ( ) American Express ( ) Discover Expiration Date:_________

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Make Checks Payable to: Hilliard YMCA, 4515 Cosgray Road, Hilliard, OH, 43026

Please return completed form and attached payment (no cash) to Cindy Sheahan in her team mailbox. If preferred payment method is by credit card or invoice, the completed form can be emailed to cldsheahan@att.net Thank You!