Big 5 Sporting Goods offers a special program to organizations whose members & supporters shop Big 5.
(Please complete this Enrollment Request Form to participate.)
Enrollment Request Form
(*Required)
Please complete this form and click the Submit Enrollment Request button below.
*
Date
(mm/dd/yy)
:
*
League/Organization Name:
Required
*
Contact Name:
Required
*
Contact Phones:
Required
Primary #:
Secondary #:
*
Check Mailing Address:
Required
*
Check Mailing Address:
(City, State, Zip)
City:
State:
Zip:
Correspondence Address:
(If different than from check)
Correspondence Address:
(City, State, Zip)
City:
State:
Zip:
*
Email Address:
Valid email required.
League Tax ID. (optional)
*
Number of Teams:
Required
01-12
13-24
25-36
37-48
49+
*
League Classification:
Required
Community
Parks & Rec
School
Other
*
Sport/Activity:
Required
Baseball
Basketball
Football
Soccer
Other
If Other, Please Specify:
Your Season Starts:
Ends:
*
Rebate period can be up to 10-days, covering
2 weekends. Please specify dates requested:
From:
To:
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