ADV - Adirondack Chair Sponsorship

Required

Adirondack Chair Information

* Sponsor will be recognized with a brass plate on chair.

Questions? Please contact Karen Moritz, Director of Special Events at moritzk@samsongmobil.com

First Namerequired

Last Namerequired

Addressrequired

Cityrequired

Staterequired

Ziprequired

Emailrequired

Phonerequired

Information to be included on brass platerequired

Sponsorship Optionrequired

Adirondack Chair Sponsorship ($500.00)

Emailrequired

Provide an email address for the receipt.

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Please select a payment typerequired

Credit Card

Billing Addressrequired

Address

City

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Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year