MSU Peaks & Potentials Camp Sponsorship Form

Peaks & Potentials summer enrichment camp allows high-potential students to explore special topics of interest and work with experts in various subject areas. Academic, recreational and social activities allow students to interact with their peers and sample campus life. Students may stay on campus or commute each day.

Sponsorships will be used to provide need-based scholarships for students. We want to ensure that all interested students have the opportunity to attend Peaks & Potentials Camp, regardless of their ability to pay. Your support is greatly appreciated.

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Sponsorship amount:

Please select one:

$275 (half tuition for one commuter camper)

$415 (half tuition for one resident camper)

$550 (tuition for one commuter camper)

$830 (tuition for one resident camper)

Other amount (please specify)

Other amount:

Sponsorship from:

Company, organization or individual name: Exactly as you would like it to appear on all promotional materials.

Contact person:

Mailing address

City/State/ZIP:

Phone:

Email:

Payment method:

Select one:

Check (payable to MSU). Print this form and mail it with a check to the address below.

Credit card (MasterCard or Visa). Please call our secure commerce line at 406-219-3946.

Please send an invoice to the address above.

Banner transfer for MSU entities only. Please provide an index number.

Index number:

Signature:

Signature

Date

Mail forms to:

Mindy DeCosse, Business Operations Manager
Academic Technology & Outreach
Montana State University
PO Box 173860, Bozeman, MT 59717-3860
Send by email to: mindy.decosse@montana.edu

Questions? Contact Justin Gibson at (406) 994-6633 or justin.gibson3@montana.edu

To learn more about Peaks & Potentials Camp, please visit: ato.montana.edu/peaks

If you want to include your logo on our conference materials, please send a JPEG to jody.olsen@montana.edu

Please note: Sponsorship of MSU Peaks & Potentials Camp is not tax deductible.

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