Sponsorship Level:
Company/Organization Name:
Contact:
Street Address:
City / State / Zip:
Phone:
Email:
Website:
Logo:
Please attach a copy of your logo.
Ad/Business Card:
Please attach a copy of your Ad/Business Card.
Stand Type:
*
Tent (free standing only)
Trailer (self contained)
Trailer Size:
*

Power source:
*
None
Propane
Generator
Electric
Electric line type:
*
110v
220v
If you require 220v, please contact the Harrisburg Special Events Director at 717-255-3020.
Electric plugs needed:
*
In-Kind Donation: Value:
Value:
Value:
Additional Donation: : Spay / Neuter Program
: HOPE (Hounds of Prison Education)
: Foster / Adopt Programs
: Woofstock
Credit Card Information
First Name:
Last Name:
Card Type:
Card Number:
Expiration Date:
Card Verification Number:
Billing Address:
Address 1:
Address 2: (optional)
City:
State:
ZIP Code: (5 or 9 digits)