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Junior’s House Child Advocacy Center ‘Blue Ribbon Walk’ – 2017 Sponsorship Form Business Name (Write Business Name as you want it to appear on sponsorship media) Date

Contact / Individual Name (For Individual sponsorship write name as you want it to appear on sponsorship media)

Mailing Address City State Zip

Contact Number: Email Address Like us on Facebook to receive walk updates

Please check your level of sponsorship commitment: NO SHIRT(S) WANTED CHECK HERE ______

_____Blue Ribbon Presenting Sponsor $2,500-$4,999 Sponsor recognition for ALL of Junior’s House Events through May 2017 Recognition of sponsorship on all ‘2017 Blue Ribbon Walk’ material including signs at Kick-off, flyers/ brochures, and a Commemorative plaque. Recognition on T-shirts worn by walkers, if sponsorship form is received by April 20 th Recognition in all media (paper, radio, cable TV) Free T-shirt for each participating walker (mark number of t-shirts needed by appropriate size)

Adult Small ______Adult Medium ______Adult Large ______Adult XL ______Adult XXL ______

YM 10-12 ______YL 14-16 ______

_____Platinum Sponsor Primary positioning on ‘2017’ Blue Ribbon Walk’ material $1,500 - $2,499 Recognition of sponsorship on all ‘2017 Blue Ribbon Walk’ material including signs at Kick-off, flyers/brochures, and a Commemorative plaque Recognition on T-shirts worn by walkers, if sponsorship form is received by April 20 th Recognition in all media (paper, radio, cable TV) Free T-shirt for each participating walker (mark number of t-shirts needed by appropriate size)

Adult Small ______Adult Medium ______Adult Large ______Adult XL ______Adult XXL ______

YM 10-12 ______YL 14-16 ______

_____Gold Sponsor Recognition of sponsorship on all ‘2017 Blue Ribbon Walk’ material including signs at Kick-off, $600-$1,499 flyers/brochures, and a Commemorative Plaque Recognition on T-shirts worn by walkers, if sponsorship form is received by April 20th Recognition in all media (paper, radio, cable TV) Free T-shirt for each participating walker (mark number of t-shirts needed by appropriate size)

Adult Small ______Adult Medium ______Adult Large ______Adult XL ______Adult XXL ______

YM 10-12 ______YL 14-16 ______

_____Silver Sponsor Recognition on signs at Kick-off, flyers/brochures, and all media $300-$599 Recognition on T-shirts worn by walkers, if sponsorship form is received by April 20th Recognition in all media (paper, radio, cable TV) Free T-shirt for each participating walker (mark number of t-shirts needed by appropriate size)

Adult Small ______Adult Medium ______Adult Large ______Adult XL ______Adult XXL ______

YM 10-12 ______YL 14-16 ______

_____Bronze Sponsor Recognition on signs at Kick-off, flyers/brochures $150-$299 Free T-shirt for each participating walker (mark number of t-shirts needed by appropriate size)

Adult Small ______Adult Medium ______Adult Large ______Adult XL ______Adult XXL ______

YM 10-12 ______YL 14-16 ______

_____Friend Sponsor Free T-shirt for each participating walker (not to exceed 5 shirts at maximum donation) $50-$149 (mark number of t-shirts needed by appropriate size)

Adult Small ______Adult Medium ______Adult Large ______Adult XL ______Adult XXL ______

YM 10-12 ______YL 14-16 ______

______Walker Free-T-Shirt for each walker (limit one) $30.00 (mark t-shirt size)

Adult Small ______Adult Medium ______Adult Large ______Adult XL ______Adult XXL ______

YM 10-12 ______YL 14-16 ______Please mark number of t-shirts per sizes and make checks payable to Junior’s House, CAC Remember any donation, no matter how small, makes a difference! Extra shirts may be purchased for $9 each. Mail to or contact: Junior's House, Inc., CAC - P.O. Box 1062 - Fayetteville, TN 37334 – Phone (931) 438-3233 / Fax: (931) 438-0727

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