SAN DIEGO CHARGERS IN-GAME SCOREBOARD MESSAGE APPLICATION Each season the San Diego Chargers provide fans with an opportunity to send a fun or special message to friends or loved ones. These opportunities are strictly limited and proposed scoreboard messages are accepted only by written application submitted in advance. There is no guarantee that your application will be accepted for the game requested due to timing or volume of requests. If we do not post your message, your check will be returned to you. APPLICATION Please be sure to return both sheets of the application – incomplete applications will not be considered. By signing below, the Applicant (your name) _____________________________________ confirms the understanding that he or she is applying for one (1) in-game Scoreboard message during the Chargers home game against _____________________, played at Qualcomm Stadium at a time to be determined by the Chargers. The message may contain up to 100 characters – including spaces and punctuation - and will run one time only. The applicant further understands that the text of the message shall be in good taste and in conformance with community standards of decency and subject to the approval of the Chargers. The Chargers shall have the right to edit the message or require changes or deletions, including the right to disapprove of the message in its entirety. If the application is approved, the applicant will receive a confirmation e-mail stating the approximate time on the game clock the message will be posted. In consideration for the message, purchaser will submit payment, at time of application, payable to the Chargers Community Foundation in the amount of three hundred dollars ($300.00). I agree to the above terms, _____________________________________ Applicant/Purchaser’s Signature ____________________________ Date SAN DIEGO CHARGERS IN-GAME SCOREBOARD MESSAGE APPLICATION Applicant Name: ______________________________________________________________________ Address: ______________________________________________________________________ City, State, Zip: ______________________________________________________________________ Phone Number (required): ______________________________________________________________ Email Address (required): ______________________________________________________________ Requested Message (100 Characters including spaces & punctuation): _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Thank you for participating in the Scoreboard Message Program and supporting the Chargers Community Foundation! Please send both pages of this application form along with your $300 check made payable to “Chargers Community Foundation” to: Chargers Scoreboard Message Program San Diego Chargers 4020 Murphy Canyon Road San Diego, CA 92123 CLICK TO PRINT
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