Business Sponsorship Form – West Newbury Riding & Driving Club

New/Renew - Select one:

New

Renewal

Sponsorship Type - Select one:

Business GOLD

Business SILVER

Business BRONZE

Business MEMBER

Business Information

Business Name:

Contact Name

First

Last

Business Address

City

State/Province

Zip/Postal

Business Phone

Business Email

Confirm Business Email

Business Website/URL

Silver & Gold: Which contact information would you like included on our site?

Silver+Gold: Your support will be shared on social media. Please provide a brief introduction to your business.

Silver+Gold: If we are providing a banner for you please describe the design and specify two colors

Gold: Please include the text you would like to see on your permanent XC jump plaque

Bronze, Silver, Gold: Please provide your business card and/or logo to be shared.

Maximum file size: 18.87MB

Please include any other information or requests you would like to share!

Sponsorship Dues

Sponsorship Dues (select one)

Business Gold - $750

Business Silver - $500

Business Bronze - $200

Business Member - $60

Additional Donation:

$25

$50

Additional Donation - Other Amount

Additional Donations will be used as requested. Use my donation as follows:

Processing fee *

Online processing fee ($5.00) (Non refundable)

Liability Waiver

I give permission for the WNRDC to use any photograph, video or other likeness of me and my horse taken during any WNRDC activity or event for promotion, coverage or benefit of the club, with the condition that such likeness will not be used to commercially promote any product. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation.

Signature

Clear

*If under 18, parent or guardian must sign.

Date

Payment Info

Payment Total

Credit Card *

Cardholder Firstname *

Cardholder Lastname *

Cardholder Email *

Cardholder Address *

Cardholder Address

City

State/Province

Zip/Postal

If you are human, leave this field blank.