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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