Sponsorship Agreement:

Company Name: _________________________________________
Address: _______________________________________ ______________________________________________ ______________________________________________
Telephone: ___________
Contact Name: __________________
Contact Telephone: ____________

Sponsorship Package (Check Appropriate Box)

Feature Section
Year One $1000: ___
Year Two $300: ___
Name of Section: ________________________________
Please Send Invoice: ___

Authorization:

Signature: _______________________________
Name: ____________________________
Title: ______________________________
Date: ______________________

Please make checks payable to:
The Sports Medicine Institute of Indiana

Return this application to:
Viktor Hinov
The Sports medicine Institute of Indiana

8040 Clearvista ParkwaySuite 

440Indianapolis, IN 46256

Phone:1 800 262 8326 or (317) 841 8326

Fax: (317) 841 9195

Your support of the Sports Medicine Institute of Indiana is sincerely appreciated.