Sponsorship Form
Breastfeeding Awareness Walk 2007
Tuesday, August 7, 2007
Company Name:
Address:
Contact Person:
E-Mail Address:
Phone Number:
Monetary Contributions:
$1,500
$1,000
$500
Other (Contributions/Donations):
Fax Number:
Donation(s) of supplies for event: Quantity
Tables
Chairs
Bounce house
Donation(s) toward refreshments:
Quantity
Water
Juices (100%)
Fruits
Other (please specify)
Quantity
Nuts/Raisins
Bagels
Coffee/Coffee Maker
Ice
Donation of air time for PSA or Community Calendar
TV
Media Agency Name:
Radio Media Agency Name:
Print
Media Agency Name:
Please check task(s) you would like to volunteer for:
Distribution of flyer
Assisting at event
Other (please specify)
Please make check payable to:
Send Attention To:
Volunteer Name:
[Insert agency or task force name]
[Tax ID]
[Address]
[Name of responsible person]
[Address]