APPLICATION FOR SPONSORSHIP

Fill out this page, print and mail with donation to address below
Company/Business:
Website:
Contact Name:
Address:
City,State,Zip:
Phone:
Fax:
e-mail:

I/We would like to support American Polish Council of Long Island in the following capacity:
GOLD SPONSOR:      $500.00 and above
SILVER SPONSOR:   $100.00 - $499.00
OTHER
Please complete the above form - make donations payable to American Polish Council of L.I. and mail to:
American Polish Council of L.I.
Polish Club
329 Peninsula Blvd.
Hempstead, New York 11550