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Thank you for finding a sponsor for the Coquitlam Junior Adanacs Lacrosse Club.

Please fill out the information below so we can prepare the materials for our sponsor.

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Form

Player Name

Players Name

Player jersey #

Player team

Company Information

Company Name

Company Address

Street Address

City

Country

Company Address

Company Email

Company Email

Company Website

Company Logo

Please upload the company logo

Company Phone

(XXX) XXX-XXXX

Company Contact

Payment

Discount

Subtotal

Tax

Total CAD

Submit now and pay later

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