Broome-Wood Post 292

Broome-Wood Post 292

185 North Main Street, New London, Ohio

SPONSOR FORM

Yes, I would like to be a Sponsor for Broome-Wood Post 292 website for the following:

(   ) 1 year from date of oder for $25.00

(   ) 2 years from date of order for $45.00

(   ) 4 years from date of order for $85.00 ( With this donation you will recive 1 year FREE, for a total of 5 years. )

Business Name:_____________________________________ Date:_________________

Contact Person:_____________________________________ Title:__________________

Business Address:__________________________________________________________

City:_________________________ State:__________________ Zip:__________________

Business Phone: (         )__________________  2nd Phone: (        )____________________

Website:___________________________________

Business Email:____________________________________

Type of Business:___________________________________________________________

Will you provide a discount to Legion members:_________ Discount:______________

--------------------------------------------------------------------------------------------------------------------------------------------------------------

Make check payable to Broome-Wood Post 292

Mail to: John Longbrake 140 W Main St, New London, Oh 44851

----------------------------------------------------------------------------------------------------------------------------------------------------------------

I UNDERSTAND THAT THE WEBSITE OR EMAIL ADDRESS WILL NOT BE GIVEN TO, SOLD OR USED FOR ANY PURPOSE OTHER THAN THE BROOME-WOOD POST 292  SPONSORSHIP.