LIRHA Logo LIRHA

Sponsorship Form:

Long Island Riding for the Handicapped Association, Inc
703 Oak St., Bellmore, NY 11710 / 1-516.783.3059 / www.lirha.com
First Name ___________________________
Last Name ___________________________
Address ___________________________
City ___________________________
State ___________________________
Zip ___________________________
Telephone ___________________________
Contact ___________________________
Email ___________________________

Type of Sponsorship

  Website Ride-A-Thon/Walk-A-Thon
$100(per year) Sponsor – Company Name Checkpoint – 8 x 10 Sign
$200(per year) Sponsor w/Logo Main Tent – 8 x 10 Sign
$300(per year) Sponsor w/Logo & Link to your Website Main Tent – 8 x 10Sign
  Program  
$1,600(per year) Student – ¼ page on our website Main Tent – 11 x 14 Sign
$6,000(per year) Horse - ¼ page on our website Pledge gifts with your logo

Donation $ _________________