Sponsorship Form

YOUR FULL NAME: 

YOUR STREET ADDRESS AND/OR PO BOX: 

YOUR CITY, STATE, AND ZIP CODE: 

YOUR HOME TELEPHONE NUMBER: 

YOUR HOME E-MAIL ADDRESS: 

YOUR WORK TELEPHONE NUMBER: 

YOUR WORK E-MAIL ADDRESS: 

YOUR FAX NUMBER: 

SPONSORSHIP LEVEL: 

HORSE WISHING TO SPONSOR : 

CORPORATE GIFT MATCH? : 

EXPECTED DURATION OF SPONSORSHIP : 

Please print this form, then send along with your check or money order to:

E.P.O.N.A.

PO Box 315

Epping, NH  03042-0315