Sponsor Application

SPONSOR APPLICATION- PRINT, FILL OUT THEN MAIL OR EMAIL OR FAX                                 
Mail and pay AlansFair, Inc. PO Box 431 Point Lookout, NY 11569                                                    email alan@nassaucountyfairs.com                                                                                                       fax 516-543-5171
SPONSOR APPLICATION
*Required
*Print your name:____________________________________________________________
Print your company name: ____________________________________________________ 
*Phone: (______) __________________x_____      Mobile: (______) ___________________

*E-Mail Address: ______________________________________________________________
Print your website www.____________________________________________  

*Print your mailing address:
 
_____________________________________________________________________________

*City_________________________*State: _____________ *Zip ____________ 


*What do you sell or what service does your company provide?

__________________________________________________________________
 
I'm signing up for Sponsor Program #1 for $300 ____                                                                      I'm signing up for Sponsor Program #2 for $500 ____                                             
Credit Card #___________________________________________________________ 
*Exp Date_________ *Security Code_______*Zip Code Associated with your card__________