Donation and Sponsorship Application

Responsible Individual:____________________________________________________

Address:_______________________________________________________________

City:_________________________________State: _________Zip:______________

Email:_______________________________Phone:____________________________

Is this Sponsorship/Donation being made on behalf of a business? _____Yes        _____No

Business Name:

Address:______________________________________________________________

City:_________________________________State: _______Zip:______________

Phone: __________________________ Website: __________________________

Donation / Sponsorship Type:        

Options:

_____Other Amount: _____        _____Center Gate: $2,000                _____Bucking Chute: $1,500        _____Corner Panel: $1,000        _____Full Panel:$250                        _____½ Panel:$125                        

I wish to remain anonymous (check only if applicable)_____

My gift is a memorial or tribute: (make a selection if applicaple)

______In Memory of                ______In Honor of                         _____On Behalf of

Individuals Name(s)________________________________

Are you interested:

_____Vendor                        _____Tradeshows                        _____Giveaways

_____Other: _________________________________________________________________

JCEAA is a non-profit 501c3 dedicated to providing opportunities to Johnson County families. We appreciate your support!

*Make checks payable to: Johnson County Equine and Agriculture Association or JCEAA

Mail to: JCEAA - 716 South Shady Street, Mountain City, TN 37683

Amount enclosed $_______________________                Date:___________

Want to receive our newsletter? ______Yes                _______No


For Office Use Only:

Sponsorship type________________Amount $________________Cash_______ Check#_______

Treasurer: Invoice/Receipt number _______

Johnson County Equine and Agriculture Association        716 South Shady Street, Mountain City, TN 37683