Upper Arlington Area - Chamber of Commerce

Name of Business:

Event Contact Name:

Address:

City:

Zip:

Email Address:

Telephone Number:

Fax Number:

Sponsorship Opportunities:
	Indy 500 Sponsor- $2,500 (includes 1 display space) View Benefits
	Tour de France Sponsor - $1,000 (includes 1 display space) View Benefits
	Winner’s Circle + Sponsor - $350 (includes 1 display space) View Benefits
	Winner’s Circle Sponsor - $250 View Benefits
Other:
	6’ Display Space in Business Expo - $150 View Benefits
	I would like to make a donation for the Silent Auction (Please give brief description)

Pay by Credit Card (MasterCard or Visa Only)

Name as it appears on Credit Card:

Credit Card Number:

Expiry Date:

(mm/yy)

V-code (3 digit # on back of card):

Pay by Check (Included and Payable to “UAACC”)

Amount of Check:

Check #:

Please Invoice My Company