First Name:
Surname:
email:
Mobile No:
Home Town:
What
type of sponsorship are you applying for ?:
Choose....
Full sponsorship ( Product and money)
Product Sponsorship
Reduced rate sponsorship
Team Sponsorship
Other
Please supply a further description relating to your request:
Do you receive regular publicity ?:
Choose...
Yes
No
Would you say that you have a
fan base?:
Choose...
Yes
No
Do you have a Facebook fan base ?:
Choose...
Yes
No
Facebook Profile link? ( if any ):
Do you Blog ?:
Choose...
Yes
No
Blog Address if any ?:
