2021 9th Annual Madison Area Conservation Dinner

Please complete the following questions for the Table Sponsor Contact
Sponsoring Union/Company*
Contact Name*
First Last
Select a Union (choose "Friend of Labor" if not a union)*
Local #
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Product Name
Choose Sponsorship Level(s)*
- Platinum Sponsor ($10,000 & 5 Table Prizes)
- Gold Sponsor ($5,000 & 3 Table Prizes)
- Silver Sponsor ($3,000 & 2 Table Prizes)
- Bronze Sponsor ($1,500 & 1 Table Prize)
- Veteran Sponsor($2,000 & 1 Table Prize)
Platinum Sponsors: Choose a Combination of 5 Table Prizes*
Gold Sponsors: Choose a Combination of 3 Table Prizes*
Silver Sponsors: Choose a Combination of 2 Table Prizes*
Bronze Sponsors: Choose 1 Table Prize*
Veteran Sponsors: Choose 1 Table Prize*
Total
$0.00
Payment Information
How would you like to pay?*
Please mail your check to:
Union Sportsmen's Alliance
Attn: 9th Annual Madison Area Conservation Dinner
4800 Northfield Lane
Spring Hill, TN 37174
Credit Card*
Card Details
Cardholder Name
Billing Address*
Same as previous

Street Address Address Line 2 City State ZIP Code

Payment Information