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United Shoe Retailers Association

ADDITIONAL SPONSORSHIP FORM

USRA May Event 2011 - May 3, 4, & 5
The Westin Mission Hills - Palm Desert, CA


Retail Sponsorships:
Sponsor Retailers for the three day event
$395.00 (single or double  occupancy)
Number of Retailers to be sponsored
Golf Tournament:       
Sponsor Wednesday morning’s Golf Tournament:
$16,000.00
Tuesday:
$8,500.00
Wednesday:
$8,500.00
Wednesday:
$16,500
Facilitator:
Sponsor the Facilitator for the entire event
$10,000
$3500.00
$1500.00 each
$1500.00 each
$1500.00 each
$1500.00 each
Tuesday:
$7500
Wednesday:
$7500


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United Shoe Retailers Association

ADDITIONAL SPONSORSHIP FORM

USRA May Event 2011 - May 3, 4, & 5
The Westin Mission Hills - Palm Desert, CA



Company Name:
Website:
Address:
City/State/Zip:
Co Phone:
Co Fax:
Contact Name:
Title:
Email:
Your Phone:
Your Fax:
Cashier's Check  
Money Order  
Company Check
Check Number:
Credit Card:
Mastercard
Visa
Amx
Name on Card:
Card Number:
Exp Date:
Security Code:
On Visa, MasterCard and Discover the security code is the three digits to the right of the credit card number in the signature area on back of the card.    On American Express, the security is four digits printed (not embossed) on the right front of the card above the credit card number.
Credit Card Billing Address:
Same as listed above
See Below


Address:
City/State/Zip:


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United Shoe Retailers Association

2011 MAY EVENT RETAIL SPONSOR FORM

USRA May Event 2011 - May 3, 4, & 5
The Westin Mission Hills - Palm Desert, CA


Company Name:
Contact Name:
Title:
Email:
Phone:
Fax:
First Name:
Last Name:
Company Name:
Email:
Address:
City/State/Zip:
Your Phone:
Your Fax:

**********************************************************************
First Name:
Last Name:
Company Name:
Email:
Address:
City/State/Zip:
Your Phone:
Your Fax:


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Next Page
United Shoe Retailers Association

2011 MAY EVENT RETAIL SPONSOR FORM

USRA May Event 2011 - May 3, 4, & 5
The Westin Mission Hills - Palm Desert, CA


First Name:
Last Name:
Company Name:
Email:
Address:
City/State/Zip:
Your Phone:
Your Fax:

**********************************************************************
First Name:
Last Name:
Company Name:
Email:
Address:
City/State/Zip:
Your Phone:
Your Fax:

**********************************************************************
First Name:
Last Name:
Company Name:
Email:
Address:
City/State/Zip:
Your Phone:
Your Fax:

**********************************************************************
First Name:
Last Name:
Company Name:
Email:
Address:
City/State/Zip:
Your Phone:
Your Fax:

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