Latin Times Magazine 2019 Hernando Hispanic Heritage Festival RSVP APP

DEPARTMENT OF PARKS AND RECREATION 16161 FLIGHT PATH DRIVE ◆ BROOKSVILLE, FLORIDA 34604 ◆ RECREATION P 352.754.4031 ◆ F 352.754.4415 ◆ PARKS P 352.754.4027 ◆ F 352.754.4427 Diamond Please review levels of sponsorship to decide what works for your business. We ask that you please submit your completed form and check payable to Miss Hispanic Queen of HC by no later than June 1, 2019 to help us cover our entertainment deposits and other expenses prior to festival and so that we may begin circulating flyer promotion. VIP Area access allows you free parking, lunch and drinks. Festival will be September 21st at Lake House Park, 1202 Kenlake Ave., Spring Hill. Diamond – $1,500 – Business Exclusivity, General Sponsor, all media promo, Banner display on stage (you provide), your logo on event flyer, social media announcement, MC announcement throughout event, vendor space at event and 6 VIP Passes Gold - $1,000 - Banner display at event (you provide), MC Announcement throughout event, logo on event flyer, social media announcement, vendor space at event and 4 VIP Passes Silver - $500 - Banner display at event (you provide), logo on event flyer, vendor space at event, social media announcement, 2 VIP Passes HISPANIC HERITAGE FESTIVAL 2019: SPONSOR Application/RSVP Business Name_________________________ Contact Name________________ Date: __________ Type of Business ____________________________________________________ Address_______________________________ Phone ______________________ City____________________ST___ZIP:__________Email:_____________________ Would you be taking advantage of Vendor Space ________ If you have any special needs to a physical disability, please provide information on the type of assistance needed. Please email your logo to If sponsorship includes banner display, you provide same at least two days prior to event. Call us to arrange drop off or pick up. Describe Product and Information that you will be displaying at your table and if you have any raffles you would like us to announce: ___________________________________________ Credit Card and other Payment Information: Latin Times, Inc., 14391 Spring Hill Dr Suite 417; Spring Hill, Fl. 34609 Attn: Victor Padilla, Email or Fax completed forms to: (813) 489-2422 Credit Card information: Name as it appears on Credit Card: __________________________ Type of Card: ________ Amount Paid: $____________ Credit Card number: ______________________________ Exp Date: _____________ Security code on back of card: __________ Billing address of Card:_____________________________ City: __________ State: ____ Zip Code: ____________ By signing this form, you are authorizing Latin Times International Ministries, Inc., Latin Times Media, Inc., Hispanic Resource Foundation, Inc., and it’s subsidiaries to debit your credit/debit card or Checking account for all services provided to you and for all open balances owed to participate as a client of Latin Times Media, Inc., Your marketing package is described above. Terms: Once Payment is received, your marketing and promotional package begins. Please note Bank Account with transaction details. There are NO REFUNDS on any Payments or Deposits. All Balances paid by credit card are charged a processing fee of 3.99%. This includes package, which has been pre-purchased and reserved for you, promotion of your business begins immediately upon receipt of this Application/Agreement form. This media service offers limited exclusivity opportunities and by paying/Securing this space, you may also be preventing others with a like business from securing. This Agreement does not imply nor guarantee any exclusivity as to the selling services or products approved by the Latin Times Media, Inc.. I understand there are NO REFUNDS on payments or deposits. If this charge is contested and we receive a notification of Charge Back or NSF during a later date you will be subject to all Court, Legal, and/or additional collection fees. Authorization Signature: ________________________________ Date: _____________________