Become a Nightmare in the Kitchen Sponsor!

Contact Name(Required)

Business Name (how it will appear on promotional materials)(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Is your mailing address the same as the address above?(Required)

Yes

No

Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Partnership Level (please select one)(Required)

Freaky Fripp Sponsor ($2,500)

Haunted Kitchen Sponsor ($1,000)

Pumpkin Pickle Sponsor ($500)

Ghost Rally Sponsor ($250)

Please select payment method below.(Required)

If paying online, use link on next page to pay. Please make checks payable to Good Neighbor Medical Clinic.

Online (PayPal)