Visionary DVD Club Logo

VISIONARY DVD CLUB
Sponsor Application Form

Print out this page, fill out this form, and fax or mail this sheet to start your sponsorship.
(or call us with the numbers, etc.) PDF version
The Message Company
4 Camino Azul
Santa Fe, NM 87508 USA
Email: message@bizspirit.com
505-474-0998
505-474-7604
Fax: 505-471-2584

Check # _________________ Amount ______________

Or charge sponsorship fee to my credit card:

CC# ________________________________ Expires __________

____________________________________________________
Signature
____________________________________________________
Name on Card




Name _______________________________________________________

Address _____________________________________________________

____________________________________________________________

Organization __________________________________________________

Organization Address ___________________________________________

City ________________________State __________ Zip ______________

Phone _________________________ Fax __________________________

Email________________________________________________________

Website ______________________________________________________

Yes! Sign me up for sponsoring the Visionary DVD Club. I understand that my credit card will be charged $500. I understand that my name and organizational logo will be added to Sponsorship section of the Visionary DVD Club website with a hotlink and that I will be acknowledged on the DVDs themselves.

Visionary DVD Club is a division of
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