EmailMe Form - Touring Tech Sponsorship

Name *

First Last

Email *

Phone *

### - ### - ####

Location (city, state) *

Product(s) Requested for Sponsorship (include part #(s) from our website) *

Year, Make, Model of Vehicle *

List current modifications and any other current sponsors *

Vehicle Picture 1 *

Vehicle Picture 2 *

Vehicle Picture 3

Vehicle Picture 4

Social media handle(s) *

List any past or future planned media exposure or any other relevant information that should be considered when reviewing your proposal

Terms and Conditions *

I agree

I hereby certify that the information in this application is correct. I understand that if I qualify for sponsorship or partial sponsorship, I will be required to have a minimum of one VERA sticker displayed on the vehicle and strive to promote VERA Air to the best of my ability. I understand that all prices and terms of the sponsorship are not to be discussed under any circumstances. I may refer others to receive sponsorship but the prices are not to be disclosed. I understand and agree that any violation of these terms and conditions may disqualify my sponsorship, and I will be billed at full retail.

Signature

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