Sponsorship Information

 

I wish to be a sponsor of the

Wisconsin Polka Boosters Radio Show

WTKM-FM 104.9 – AM 1540

 

Saturdays 11:30AM to 12:00 Noon

Minimum Amount $10.00 for Announcement of:

Please Check One:


 Name, Song & Band_____________________________________________________

 

 Special Occasion________________________________________________________

 

 Birthday_______________________________________________________________

 

 Anniversary____________________________________________________________

 

 Retirement_____________________________________________________________

 

Amount of Sponsor:

 

 $10.00    $20.00    $30.00    $40.00   $50.00     Other____________________

 

Contact Information: 

Contact Person_________________________ Phone w/area code_________________________

Make Checks Payable to: Wisconsin Polka Boosters, Inc.
Please print this page, fill out, and send to:

Vern Blankenburg

W153  N10035 Neptune Dr.
Germantown, Wi. 53022-5237

Thanks for being a polka sponsor