Business / organization sponsor sign-up

NEW! If you were a sponsor or racer for one of last year’s races, and you use the same e-mail address or first name / last name combination you used the last time, the system will search your history and ask if you would like to auto-complete the rest of the form.

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Email *

Sponsor Type

$100 - Sponsor an event
$500 - Premier sponsor for an event
$1000 - Main sponsor for an event
$1500 - Sponsor the whole M4 campaign (all events)
$2500 - Be our main sponsor (only 1 spot available)
Custom amount (contact us for questions about how we can promote you)

If choosing "custom amount" above, enter here the specific amount you want to give

Event

Business / Organization Name *

First Name *

Last Name *

Phone

Please upload an image of the ad or logo you'd like to post

Tell us more about your business / organization. This information will be shown on a separate page when a visitor clicks your ad or logo. *

Payment Option *

I will pay by credit card (default and recommended)
I will be sending a check. If selecting this option, please make your check payable to Mission To Myanmar, and send to the following address: P.O. Box 261 Harrisburg, OH 43126

Check # (if applicable)

100.00

Insert/edit link

Enter the destination URL

URL

Link Text

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Or link to existing content

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