Andiamo 16th Annual Benefit Motorcycle Run

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Police
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2015 SPONSORSHIP REGISTRATION
Collector
T-Shirts
given to
all Bikers!
f
or Gifts o
All Spons re will be
o
$250 or m address
mailed to low.
listed be
Motorcycle Run
__________________________________________________________
Rider Name
Proceeds to benefit Englewood Hospital & Medical Center Foundation, Haworth Ambulance, Special Olympics,
The Bergen County Society for the Prevention of Cruelty to Animals (BCSPCA), Juvenile Diabetes Research Foundation,
Andiamo Scholarship to St. Therese School and many other local charities.
September 13th, 2015
(Rain Date September 20th)
Departs Andiamo Restaurant
10:20 AM Sharp!
q Sponsor .....................................................$125.
Listing on back of Event T-Shirt, Free Admission to Post Run Party
PLUS Two Commemorative T-Shirts (pick up at the run).
q Benefactor............................................$1,000.
SAME AS “Super Angel” plus $100 Gift Certificate to
Andiamo Restaurant.
q Angel Sponsor ...................................... $250.
q Golden Benefactor ........................ $2,500.
q Super Angel Sponsor ........................$500.
q Platinum Benefactor ..................... $5,000.
SAME AS “Sponsor” plus one Limited Edition Commemorative Sweatshirt and listing on our website (link available).
SAME AS “Angel” plus one Limited Edition Commemorative special gift.
SAME AS “Super Angel” plus $250 Gift Certificate to
Andiamo Restaurant.
SAME AS “Super Angel” plus $500 Gift Certificate to
Andiamo Restaurant.
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Email:
YOUR FRIEND:
__________________________________________________________
Rider Name
__________________________________________________________
Passenger Name
__________________________________________________________
Address(es)
__________________________________________________________
__________________________________________________________
Email:
PAYMENT FOR RIDERS ONLY:
Organization: ___________________________________________________________________________________________________
____ Passengers @ $15 per $ ____________
Listing as you would like it to appear: _________________________________________________________________________________
TOTAL$_____________
Street: ________________________________________ City: ___________________ Zip: _____________________________________
q Check Enclosed
q (SPONSORS ONLY) Charge my:
qVisa
q Mastercard
q American Express
12:00 Post Run Party
For Information call 201-384-1551
www.andiamorun.com
__________________________________________________________
Address(es)
____ Bikers @ $30 per $_____________
Name: _________________________________________________________________________________________________________
ALL WELCOME!
$10 for Walk Ins
__________________________________________________________
Passenger Name
Sign Up Begins at 8:15 AM
Live Music • Pizza
Hot Dogs • Soda • Beer
and lots more!
No confirmation will be sent -sign up required at will call table!!
YOUR INFO:
Andiamo 16th Annual
Benefit Motorcycle Run
16th Annual Benefit
Pre-Registration Form
E-mail address: ________________________________________________ Phone: ___________________________________________
q Check Enclosed q Charge my q Visa q MasterCard q American Express
Acct. No.:______________________________ Exp:___________
Account No. ___________________________________ Exp. ______ Signature: _____________________________________________
Signature:___________________________________________
Shirt Size(s): ___S ___M ___L ___ XXL
(Angel, Benefactor, Golden & Platinum Sponsors only.)
Checks payable to: ANDIAMO BENEFIT MOTORCYCLE RUN, 23 Hardenburgh Avenue, Haworth, NJ 07641
Name:______________________________________________
Street:______________________________________________
City:________________________ St._______ Zip____________
Questions, please call 201-384-1551 • www.andiamorun.com
E-Mail:______________________________________________
We are a tax-exempt organization under section 501(c)(3) of the Internal Revenue Code (# 20-0117193).
All donations are tax deductible to the extent permitted by law.
Phone:______________________________________________
ANDIAMO BENEFIT MOTORCYCLE RUN
23 Hardenburgh Avenue, Haworth, NJ 07641