2011 District Program

Corporate Sponsor, Patron, Memorial Form

Corporate Sponsors and Patrons
YES, I would like to listed as a Corporate Sponsor or Patron in the program for the 2011 Mid Atlantic District Convention held on Sept 30th - Oct 1st at the Lancaster Convention Center.

Memorial
We have lost so many great men that we are also adding a section to this year's program to honor Barbershoppers who have died.

Your Name*
Address*
City*
State*
Zip Code*
Phone*
Email*

Corporate Sponsor ($35)    Patron ($25)     Memorial ($25)

Sponsor/Patron: I would like the name on my listing to read:

Memorial: I would like to remember the following person:

Verification:* In order to minimize abuse/spam, please enter the numbers you see into the field below.	Enter code as shown above:

Should you have questions, contact Tom Malesic - 717-291-4689

Deadline for print: September 5, 2011