STEPOLOGY Sponsor Information Form


Name of Sponsor:	______________________________

Add'l Contact Name:	______________________________

Street Address:		______________________________

City, State, ZIP:	______________________________

Home Phone:		______________________________

Work Phone:		______________________________

Other Phone:		______________________________

Email Address:		______________________________


Amount of Contribution:	$_____________


Acknowledgment:		Sponsor Name	______________________________
(circle one)
			Company Name	______________________________	

			Other Name 	______________________________

			In Honor of  	______________________________

			In Memory of	______________________________

			Anonymous


T-shirt size and number:	S  #___	M  #___	L  #___	XL  #___


If applicable, all logos and advertisements should be emailed to stepology@yahoo.com, 
should be in ".bmp", ".gif", or ".jpg" format, and may be rendered in black and white.  

Please provide the exact URL of the web page to be linked to the company logo posted on the 
STEPOLOGY website:

______________________________