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Sponsorship Registration

    • Thank you for your payment.

    Your transaction has been completed, and a receipt for your purchase has been emailed to you.

    Your Name (required)
    		 Category (required)
    Your Email (required)
    		 Sub-Category (if needed)
       
    Address/PO Box
    		 Business Phone
    City
    		 Fax Phone
    State
    		 Cell Phone
    Zip Code
    		 Website Address
       
    Representative
    		 Company Name
    Description of Discount
    Special Instructions
    DESCRIPTIONS OF ITEMS PURCHASED. PLEASE INCLUDE:

    • CATEGORY

    • COUNTY

    • STATE

    • AMOUNT OF PURCHASE

    • Your Name (required)

    Your Email (required)

    Your Suggestion


    Use of logos and names of military services does not imply or reflect sponsorship or endorsement of any federal, government or military organizations, including but not limited to the DOD, the American Legion, VFW, and/or any other veteran member organizations. Silent Soldier, LLC is not responsible for and holds no liability for any claims or services provided by, or represented from, any of the companies Sponsoring SilentSoldier.us The sole responsibility to any and all claims is between the sponsored company, or companies and their patient, client or consumer. Copyright 2014 Silent Soldier, LLC.