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2. Business (as it will appear)
4. First Name*
5. Last Name*
7. (Business) Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
16. Business Website
18. Select Level of Sponsorship*
    -- Select One --Platinum ($1,000)Diamond ($500)Gold ($250)

20. ♦ Please email your company logo to kmelendy@lavergnetn.gov in a high quality .jpg or .eps format for advertising purposes. If possible, please also include a scanned copy of the application.

    ♦ The deadline to submit your payment and logo is Wednesday, December 15, 2023.

    ♦ Make checks payable to City of La Vergne and mail them with the application to La Vergne Parks &Recreation, c/o Kathi Melendy, 294 Sand Hill Road, La Vergne, TN 37086.

22. Electronic Signature*

    1. I agree.

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

24. Platinum Sponsor ($1,000)

    • Business name displayed on all posters and promotional items.

    • Link to business website on City's Father-Daughter Dance web page.

    • Business logo included on day-of dance banner.

    • Business name on dance banner displayed at city events where applicable.

    • Color logo on table signs.

    • Color logo on sign at photo booth.

25. Diamond Sponsor ($500)

    • Link to business website on City's Father-Daughter Dance web page.

    • Business logo included on day-of dance banner.

    • Business name on dance banner displayed at city events where applicable.

    • Color logo on serving tables.

    • Color logo on sign at photo booth.

26. Gold Sponsor ($250)

    • Link to business website on City's Father-Daughter Dance web page.

    • Business logo included on day-of dance banner.

    • Business name on dance banner displayed at city events where applicable.

    • Color logo on sign at photo booth.

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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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