2009 Sponsorship Application

2009 HARC SPONSORSHIP APPLICATION Salutation: Mr. Ms. Mrs. Miss First name: ___________________________________ Last name: ___________________________________ Company Name: _______________________________ Address: _____________________________________ City: _________________________________________ State: __________________ Zip: _________________ Phone: _______________________________________ Fax: _________________________________________ Email: ________________________________________ Web site: _____________________________________ Sponsorship level: 2009 fee is only $250. Pay by credit card on our website, or mail a check, payable to HARC: 9755 Commerce Parkway, Lenexa, KS 66219 Please provide a brief (1-3 sentences) description of your company:

Email your logo to appear on the HARC web site (gif or jpeg format; preferred dimensions: 300 X 300 pixels Note: To become a HARC Sponsor for 2009 we must receive your application, logo, description and payment no later than June 1, 2009. Please contact Terry Hooker at 913-888-4554 ext 201, ([email protected]) , or Mark Champagne at 913-484-5844 ([email protected]) with any questions.