Link to Printable Polynesian Party 2012 Sponsorship

Printable Polynesian Beach party Sponsorship, Live or Silent Auction Contribution form can be seen by clicking 2012 NEWSponsorshipAuctionForm-no picture

This form should look roughly like the form below:

The Crumley House Brain Injury Rehabilitation Center

Presents

The Polynesian Beach Party

August 4, 2012

6:00 P.M. on The Crumley House grounds

____________________________________________________________________________

Sponsorship, Live or Silent Auction Contribution

____________________________________________________________________________

Company Name_______________________________________________________________

Address _____________________________________________________________________

Phone # _____________________________________________________________________

Fax # _______________________________________________________________________

Contact Person _______________________________________________________________

 

Check appropriate box below:

□ Corporate Sponsorship $2,500.00 (includes 25 tickets)

□ Title Sponsorship $1,500.00 (includes 15 tickets)

□ Honorary Sponsorship $1,000.00 (includes 10 tickets)

□ Basic Sponsorship $500.00 (includes 5 tickets)

____________________________________________________________________________

 

□ Monetary Donation $_____________

 

□ Supply a live or silent auction item:

Description ____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Approximate Value $_____________________________________________________

 

□ Purchase tickets to Beach Party ______ No. of tickets X $100.00 each = $_______________

 

Return form to: The Crumley House Brain Injury Rehabilitation Center

300 Urbana Road

Limestone, TN 37681

 

For additional information call 423-257-3644 extension 7.

 

Volunteer contact:________________________________________Date__________________

Phone #:_____________________________________________________________________

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