Reservation and Sponsorship Form
(Reservation form due with check to Animal Protection Coalition, Inc. by June 9, 2007)

Name of Group or Business:
Address:
City:
State: Zip Code:
Phone Number:
E-mail:

Are you a non profit organization? No           Yes, Our Tax ID Number is
(Table will be reserved at a reduced rate for non profit groups ($25) to cover the cost of table and chair rental)

Name of Primary Contact Person:
Address:
City:
State: Zip Code:
Phone Number:
E-mail:

Please select choice of involvement

Event Sponsor $200.00 - Your organization/business will be listed as an event sponsor on our 
      website and at the event.

Gold Sponsor $500.00 - Your organization/business will be listed as an event sponsor on our 
      website, event advertisement information, and at the event.