Honors Sponsorship Form HONORS SPONSORSHIP FORM FILLABLE | Page 3

Sponsorship
Agreement Form
I agree to become a Lakeland Chamber of Commerce HONORS
sponsor at the following level:
____
____
____
____
$5,000 Award Sponsor
$3,000 Reception Sponsor
$1,000 Signature Sponsor
$250 Small Business Sponsor
Name: ________________________________________________________________
Company Name: ______________________________________________________
Email Address:_______________________________________________________
Phone Number:_______________________
Signature:____________________________Date:___________________
Credit Card Information:
Name on Card:________________________________________________________
Billing Address:______________________________________________________
Credit Card Number:_________________________________________________
Expiration:__________________ Security Code:_______________
Signature:_________________________________ Date:_____________
Please make check payable to “Lakeland Chamber of Commerce”
and mail to:
Lakeland Chamber of Commerce
PO Box 3607 Lakeland, FL 33802