Cruisin' Buddies Rod, Custom & Classic Car Club, Inc.

Merchant/Sponsor Participation Form

Cruisin' Buddies is a New York State, non-profit rod and custom car club in the Broome County area dedicated to raising funds for charities while generating more commerce and enthusiasm to the community. If you are interested in donating a door prize, contributing a monetary sponsorship, or joining our events for this year's events, please complete and return to Kathy Oppici, 33 Park St., Port Crane, NY 13833. . Additional information is available: Call Gabe Oakley (607) 723-0656 or email cruisinbuddies@stny.rr.com

Date: ________________
Name Of Merchant/Organization/Store:___________________________________________
Address:__________________________________________________________
__________________________________________________________________
__________________________________________________________________
Contact Name:___________________________ Telephone: (____)__________

PLEASE CHECK ALL THAT ARE OF INTEREST:
 One time participation of this event
 Participation in future events
 Participation in future events only
 Not interested at this time, contact me in the future
 Donate a Door Prize
Prize Description:_______________________________________________________
 Would like to become a monetary sponsor for this event only
 Would like to be a monetary sponsor for future events
Amount of Support: _____________________________________________________
 Annually  Per Event
 Stay Open Extra Hours / Hours of Operation: __________________________________
 Donate Discount Coupons
 Set up a booth or display on the street for Cruisers
Special Needs/Comments:________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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Cruisin' Buddies Merchant/Sponser Receipt for donation:

Name _____________________________________________Date _____________

Amount of Sponsorship________________________________
Door Prize Donated___________________________________
Signature of Club Representative: ______________________________________