SPONSOR REGISTRATION
SPONSOR
Sponsor Level:
*First Name:
*Last Name:
Company:
*Phone:
*Email:
*ReType Email:
Comments:
BILLING INFORMATION
*Payment Method:
*Number:
*CCV Code:
*Expiration:
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
TERMS & CONDITIONS
  • $100 Rasta Sponsorship - Your credit card will be charged immediately by Yaga's Children's Fund.
  • All other Sponsorships - Please mail checks payable to: Yagas Children's Fund, PO Box 805, Galveston TX 77550
  • I hereby grant full permission to use my name and any photographs, videotapes, or other recording of this event for any purchase.
*I agree to the terms and conditions above.