REGION 181 - NORTHEAST BAKERSFIELD
(TAX ID NO. 95-6205398)
TEAM SPONSORSHIP FORM
2010 FALL SEASON
1. Name of Company or Organization:
_____________________________________________________________________
2. Name and title of person to contact regarding this sponsorship.
_____________________________________________________________________
3. Number of teams sponsored: Boys Girls Either
4. If you are sponsoring a particular child's team, please indicate child's name:
______________________________________________________________________
5. If the team you are sponsoring has a coach, please indicate:
Coach’s Name ______________________________________________________)____
_________________________________________________________________________
6. Do you object to having your company or organization name used in connection with this team?
Yes _______ No ________
7. I/We hereby contribute $250.00 or $300.00 or $350.00
per team for a total of $_________________.
8. Signature: ________________________________________________________
9. Print name: _______________________________________________________
Please return completed form and payment to:
AYSO Region 181, P. O. Box 6575
Bakersfield, CA 93386-6575
For more information, please call: Brenda Lencioni
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661-496-1439
