2014 DIAMONDS & DIRT BARREL HORSE CLASSIC™ SPONSORSHIP FORM SPONSOR INFORMATION Company Name: EIN: Contact Name: Mailing Address: Phone: Fax: Email: Signature: Date:
Sponsorship Levels
Diamond Jubilee
$50,000
Double Diamond $25,000 Diamond $15,000 Platinum $10,000 Gold $5,000 Silver $2,500
• If paying by check or money order, please mail form and payment to address below. • If paying by credit card, please send form and payment information to one of the following: Diamonds & Dirt care of Schiller Ranch Brenda@SchillerRanch.com 20650 FM 2154 & College Station, TX 77845 Lauryn@SchillerRanch.com
Fax: 979-217-8792
BILLING INFORMATION Check
Money Order
AmEx
Name on Card: Company Name: Billing Address: City, State ZIP: Card Number:
Visa
MC
Exp.:
Discover
CCV:
I understand a 3% convenience fee will be charged on all credit card payments and authorize DDBHC™ to charge the above amount to the credit card provided.
Signature: Date: