1. 4. Spinner/Walker Sponsor Form
Sponsor Name Address City/State/Zip Gift Amount
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24.
Thank you for your support! TOTAL:
Spinner/Walker Registration Information
I am able to participate. I am a: (Check all that apply) Age of participant: under 18 years over 18 years
Team Captain Survivor Please sign below (if under 18 years of age, parent or legal guardian must sign for you)
I have enclosed my $20.00 registration fee. Signature:
Children 12 and under walk free. Please note: Submission of this entry constitutes an acknowledgement that the spinner/walker is
physically able to undertake the spin/walk, and is a waiver of any and all claims arising out of which the
I will be walking spinning ($20 registration fee per event) spinner/walker might assert against any parties connected with the spin/walk. In addition, the spinner/
walker assents to the use of any photo, film, or videotape of the event for any purpose. Spinner/Walker
will be entered into our mailing list.
First name:
Last name: Please remove me from future Holy Family Hospital Foundation mailings.
Business/organization:
I am unable to participate in the 2010 Care for Cancer Spin/Walk,
My company is a non profit organization
but would like to make a donation. Gift amount: $
Address:
City: State: Zip:
Matching Gift Donation (please include necessary forms) $
E-mail:
Telephone: TOTAL ENCLOSED SPONSOR SHEET DONATIONS* $
Team name: *Do not include matching gift donations.
Team captain: Checks should be made payable to Care for Cancer Walk
Non-profit organizations raising $1,000 or more will receive 40% of the total
money they raise for their organizations.
2. Commitment Form
4 Great Opportunities to Give, 1 Memorable Weekend
Please join us May 21-23 for the community event that embraces
the spirt of caring. Your support is vital to the community.
I would like to...
1. Become a Corporate Sponsor 2. Place a Tribute Ad 3. Rent a Vendor Booth
Diamond Sponsor $10,000 Full Page $1,000 Booth $250
Emerald Sponsor $5,000 1/2 Page $500
product being sold/featured
Ruby Sponsor $2,500 1/4 Page $250
Sapphire Sponsor $1,000 1/8 Page $100 name of person attending event
Friend $50
cell phone of contact
Donator Information Ad Submission
IN MEMORY/IN HONOR OF (CIRCLE ONE): PLEASE SUBMIT ALL ENTRIES BY
April 27, 2010
YOUR NAME
File Formats and Delivery
Accepted ad file formats are: .pdf .eps .tiff
COMPANY NAME .gif .jpg
All supporting files (fonts, art, photos)
ADDRESS must accompany native files. Images must
be at least 300 dpi at 100% print size to
reproduce in an acceptable manner.
PHONE EMAIL If you do not have an electronic file, we
will typeset a message for you at your
request. Please provide the information
Payment Information in the space below (does not pertain to
friend listing). If you have a business card
ad and want to use your business card as
ENCLOSED IS MY CHECK FOR $ the artwork, provide the business card in
electronic format (the file that your printer
used to produce them) or provide your
business card and it will be scanned.
PLEASE CHARGE $ TO MY VISA MASTERCARD AMEX DISCOVER
All gifts are tax-deductible
NAME AS IT APPEARS ON CARD to the extent allowed by law.
Please make checks payable to:
Care for Cancer Walk
SIGNATURE EXP. DATE
Please make checks payable and
Tribute Ad Information text to appear in ad mail to:
Care for Cancer Walk
c/o Holy Family Hospital Foundation
70 East Street , Methuen, MA 01844
(t) 978-687-0156 ext. 2683
(f ) 978-659-6050