Sponsorship Form

If you want to support the 20th Annual Blast from the Past, please fill out this form to indicate what sponsorship level you are interested in. We accept payments online through PayPal, to which you will be directed after you submit the order form.

Checks can be mailed to:

Rotary Club of East Bremerton
P. O. Box 2142, Bremerton, WA 98310

Your Name:
Company name:
Address:
City:	State: Zip:
Contact phone:
Email:
Sponsorship Level:	$5,000- PLATINUM SPONSOR $2,500- $4999- GOLD SPONSOR $1,500- $2,499- SILVER SPONSOR $1,000- $1,499- BRONZE SPONSOR $500- $999- CHROME SPONSOR $250- $499- PIT CREW In-Kind Partnership- I’d like to offer goods/services to support the event, contact me!
Ticket Order:	Tickets $21.00 each
Comments: Thank You!