International Lineman's
Rodeo Association
P. O. Box 418679
Kansas City, MO 64141

Pho: 913-967-1865
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Sponsorship Form

MEMBERSHIP TO LINEMAN'S RODEO ASSOCIATION


NOTE: If you're going to print out the Sponsorship form, download this word document and print it from your computer

Using this form you may submit your membership application including credit card billing information.

If you are paying by check, fill in this form then print it and return to:

Lineman's Rodeo Association
c/o Kim Good
9800 Metcalf Ave.
Overland Park, KS 66212
Fax 913-514-6865

Company Name:
Contact Name:
Address:
City, State and ZIP:
Email:
Phone:
Fax:

Level of Membership for 2010 (check one)
Platinum $4000.00
Gold $2000.00
Silver $1000.00
Bronze $500.00

Team entry fees according to level of subscription
Platinum:      No fee for up to 8 teams and 4 apprentices
Gold:      $180 per team / $50 per apprentice
Silver:      $200 per team / $60 per apprentice
Bronze:      $220 per team / $70 per apprentice
Non-members:      $350 per team / $100 per apprentice

We plan to enter teams and apprentices in the 2011 Rodeo.
We plan to have people at the Saturday Night Awards Banquet.


Billing Information (if paying by credit card)
Credit Card Type:
Card Number:
Expiration Date: Month:  Year: 
Type word as you see it below: