Sponsorship Type *	General $1,500 CD $1,500 (limited to 1 sponsor) Lanyard $1,500 (limited to 1 sponsor) Program $1,500 (limited to 1 sponsor)
Company name *
Contact person *
Telephone
E-mail *
Shirt size
Jacket size
Credit card type *	Visa Master Card American Express Discover
Credit card number * (no spaces)
Expiration date * (month/year)
CSV # * (3 digit # on back of card)	(Am Ex users, enter 4-digit code on front of card)
Please provide the name and billing address on card
Name on card *
Billing address *
City/State/Zip *
Please type the code shown in the image: *
By clicking submit, you authorize FIFEC to charge your sponsorship to your credit card.