YOUR INFORMATION Name * Address * City * State - - Choose One - - Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Home Phone * Cell Phone E-Mail Address * CONTESTANT SPONSORSHIP I would like to sponsor a contestant: Select Contestant: Dan and Alexa Aron Dave Fish Ben Frimmer Anthony Kesselmark Henry Rapp, III Anthony Santomauro Sponsorship Amount: Select Sponsorship Amount: $25 $50 $100 $250 $500 Other (specify below) If "other amount," please specify: CHECK OUT Select Payment Method: Select: MasterCard Visa American Express Discover Credit Card Number: * Credit Card Expiration Date: * I understand this transaction is a final sale and there are no refunds or exchanges. * I do.