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We have a variety of registration options for teams.

Print this form and mail to Mark Fidrych Foundation, Inc, 260 West St., Northborough, MA.  01532.

Sponsor Name: __________________________________________________________

Sponsor Levels

o   Grand Slam Program Sponsor:                                                                          $5,000
     Website and program flier recognition, company banner

o   Home Run Team Sponsor:                                                                                 $2,500 
     Team Sponsor, website recognition, company banner, 12 T-shirts for team members

o   All-Star Sponsor:                                                                                               $1,000 
     Website recognition

o   Friend of Mark Donation:                                                                                  ______

o   Raffle Donation:____________________________________________________

o   Children’s Activity Sponsorship:  Balloon Making/Bouncy Gym  (circle one)

Team Registration

Team Name:  ______________________________Captain:   ________________________

Contact Information Email:  _______________________Cell:  ________________________

Payment Information

Make check payable to Mark Fidrych Foundation, Inc.

Payment by Credit Card available through PAYPAL: Go to

Company/Individual’s Name:  ______________________________________________

Address: _______________________________________________________________

Contact Information Email:  ________________________Cell:  ________________________

Fine Print
Limited Team Openings:  Please return this form with payment by July 28, 2019.

Mail to:  Mark Fidrych Foundation, Inc, 260 West St., Northborough, MA.  01532.
For more information please contact:   Mark Philbin @ 978-833-7198 or

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