Company Name as you would like it to appear: _____________________________________

Contact Person:_____________________________________

Address:___________________________________________

Phone:________________ Fax:_______________

Please check appropriate Sponsorship Level:

_____Lion    @  $500.00

_____Tiger   @  $250.00

_____Zebra   @ $125.00

$__________Total Paid

_____Check Enclosed

_____Credit Card (processed through Chamber) _____ Visa _____ Mastercard

Card #_____________________________
Name as it appears on credit card______________________  Expiration Date:  ___________
Card Billing Address ___________________________________________________________

Authorized Signature_______________________________

Please mail or fax form to:     Buda Area Chamber of Commerce

                                                            P.O. Box 904

                                                            Buda, Texas 78610

                                                            512-295-9999

For more information please contact: Darleen Motley, 512.431.5866, darleenmotley@yahoo.com  or

                                                      Dick Schneider, 512.295.5500, 512.914.8546, bacc@austin.rr.com