JIMS^® Racer / Rider Sponsorship Application

Racer or Rider Name: *

First

Last

Team Name: *

Team Contact: *

Address: *

Address Line 1

City

State

Zip Code

Phone # *

Mobile Phone # *

Fax #

Email: *

Website: *

How long have you been racing / riding? *

Race Class: *

Current Standings: *

Bike Description: *

Current Sponsors: *

Race Team History: *

Race Team Objectives: *

Current JIMS Products Being Used: *

Which JIMS Products Are You Interested In Using? *

Name *

Company *

Phone # *

Name *

Company *

Phone # *

Name *

Company *

Phone # *

Name

Company

Phone #

Submission of this form does not guarantee a sponsorship from .JIMS.
.JIMS "does not" offer Funding Sponsorships "Cash Sponsorships" . .JIMS Sponsorships are strictly for .JIMS products only.
If these terms are not properly fulfilled, your .JIMS Sponsorship will be "Null and Void" and you will be invoiced for product delivered to you by .JIMS.

Phone

JIMS® Racer / Rider Sponsorship Application