Representative

Firm Name

Mailing Address

City

State

Zip

Business Phone No.

Fax No.

E-mail

Jacket/Shirt Size      M         L        XL      XXL        (circle one)

(Choose one for each balloon sponsored)

How many balloons would you like to sponsor in 2009?

Do you have a preferred pilot/balloon?       ð Yes       ð     No    if Yes, please enter Pilot Name and Balloon name below

Pilot Name

Balloon Name (if known)

Please list additional pilots/balloons here:

 Sponsorship Payment

Please check your level of sponsorship below

 Please make your check payable to:

Mesilla Valley Balloon Rally

Individual/Business non-corp. balloon    

Corporate*balloon                                         

Ad-vanced

ð        $450

ð        $600

ð        $700-850

These are the

Early Bird rates

paid by Sept 30, 08

+$25.00 thereafter

Propane/Silver  ð

 $1000+

 Gold ð

 $4000+

 Diamond ð

 $7000+

  Platinum  ð   $15,000+

Representative of  Sponsor please print name here:      

Signature:________________________________________________________  Date: _________________

Representative of Rally: ___________________________________________________________________