Please enable JavaScript in your browser to complete this form.Sponsorship Level *Pick a Support LevelPatriot Sponsor Level - Park Bench Sponsor ($3,000)Patriot Sponsor Level - Park Bench Sponsor ($2,000)Patriot Sponsor Level - Park Bench Sponsor ($1,500)Patriot Sponsor Level - Park Bench Sponsor ($1,000)White Ribbon Sponsor Level ($5,000)Red Ribbon Sponsor Level ($10,000)Blue Ribbon Sponsor Level ($15,000)Gold Sponsor Level ($20,000)Gold Sponsor Level ($30,000)Gold Sponsor Level ($40,000)Premier Star Sponsor Level ($50,000) (Limited to One)Full Legal Name - Prefix First Middle Last Suffix *FirstMiddleLastSponsor / Company Name *Phone *Email *Type of Payment Account *ACH eCheck Electronic CheckCredit CardMailed Check - Not PreferredOptional Upgrades for SponsorshipsPremium Placement for your Bench - You choose the location on the property ($500)When this optional selection is made, in addition to a sponsorship level, it will be added to the value of the Sponsorship.Add On - Digital Messaging Billboards - More than 20 Digital Messaging Boards (4-6 square feet each) will be located throughout the park in key areas.Premium Placement ($1,000)Full Entry ($500)Starter Kit ($250)These boards will be located inside of the major buildings on site as well as inside the main gates and on/around the major attractions/stages. We're currently planning to expand this program in the future to allow more, high quality communication with our Patrons. THANK YOU for supporting this effort and all of the efforts that are made possible by the Coastal Carolina Fair! When this optional selection is made, in addition to a sponsorship level, it will be added to the value of the Sponsorship.Mailing Address for the Card - Must MatchAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Picture of the FRONT of your Check * Click or drag a file to this area to upload. Images are used for security purposes and accuracy confirmation.Picture of the FRONT of your Debit or Credit Card showing your name as it matches your account * Click or drag a file to this area to upload. Images are used for security purposes and accuracy confirmation.Picture of the BACK of your Debit or Credit Card * Click or drag a file to this area to upload. Images are used for security purposes and accuracy confirmation.Checkboxes *By clicking the Submit Button, I authorize the Coastal Carolina Fair to charge my checking account or credit card, specified above or used at any time in the future, for the payment of any or all of my charges and/or for charges incurred this year or future years sponsorship. I also understand that I may terminate this agreement by giving seven (7) days written notice to the Coastal Carolina Fair, allowing a reasonable amount of time after receipt for the Coastal Carolina Fair to act upon it.Signature * Clear Signature SUBMIT to Add this Payment Account
