COLLEGENIGHT

CollegeNight.com

Please complete this on-line form or print it out and fax/mail it to us.

COLLEGENIGHT.COM
1306 Seaton Lane
Falls Church, VA, 22046
Tkelly@cerr.com
www.collegenight.com
Voice 703-536-7871
Fax 703-536-1663

APPLICATION TO BE A SPONSOR FOR COLLEGENIGHT.COM

We want to be a SPONSOR for COLLEGENIGHT.COM for 1999.
Please enroll us for an annual Sponsorship for $600.
Please send electronically the names of visitors to the site for an annual cost of $240.

Institution

Address

Zip Code
Email Address

Name of person completing form

Title

Telephone
Fax

Purchase order # for $

Please bill us for $

Check enclosed for $

THANK YOU

We want to be a SPONSOR for COLLEGENIGHT.COM for 1999. Please enroll us for an annual Sponsorship for $600. Please send electronically the names of visitors to the site for an annual cost of $240.
Institution	Address
Zip Code	Email Address
Name of person completing form	Title
Telephone	Fax
Purchase order # for $
Please bill us for $	Check enclosed for $