Sponsorship Form
Business_____ Individual _____
Sponsor's Name: ______________________________________________
Address: _____________________________________________________
City/ State: _______________________________ Parish: ____________
Zip: _________________ Phone #: ___________________________
Contact Person: _______________________________________________
Level of your sponsorship: _______________________________________
(Make checks payable to: Region IV Science Fair)
If your level of sponsorship includes an award, please fill out the following:
Award category: __________________ Junior High School: _________
Senior High School: _________
Please give a brief description of special award you or your business will present:
_______________________________________________________________
_______________________________________________________________
Do you want to choose the winner of your award, or would you like the Awards
Committee to make the selection?
I will choose ___________ The Awards Committee will choose ___________
Do you wish to present the award at the Awards Ceremony, or would you like
the Awards Committee to make the presentation?
I will present ___________ The Awards Committee will present ___________
If your level of sponsorship includes being mentioned on the T-shirt,
please supply the following:
In the space below, please provide your name and/or logo as you would like it to
appear on the Region IV Science Fair T-shirt. If you need to make a copy or a
scan of your logo, you may mail it separately, or e-mail, it to the address below.
Return this completed form to:
Sandra Purifoy
8100 Hwy 71 South
Alexandria, LA 71302