Sponsorship Form
FUNDRAISER
We invite your business to partner with the Foundation
in helping make our Variety Show a successful and entertaining fundraiser
Net Proceeds will benefit the Foundation’s Scholarship and Staff Education Fund
$300
Gold Sponsor
Since 1998 West Holt Medical Services
Foundation has awarded
$200
232
students with scholarships.
Silver Sponsor
$100
Bronze Sponsor
$51,000 has been given to students
in our community pursuing degrees in
the medical field.
Four $500 scholarships are
awarded each year .
Recognition
Through:
Sign on Stage
Show Program
Announced at Show
Listed on Website
Social Media Posts
Thank You in Advance
Recognition
Through:
Show Program
Announced at Show
Listed on Website
Social Media Posts
Recognition
Through:
Show Program
Announced at Show
Listed on Website
for partnering with us to offer
scholarships to students in our
community and funding educational
opportunities for our staff.
Jessica Prussa
Foundation & Marketing Director
 I would like to become a Gold Sponsor and donate $300 for your Variety Show Fundraiser
 I would like to become a Silver Sponsor and donate $200 for your Variety Show Fundraiser
 I would like to become a Bronze Sponsor and donate $100 for your Variety Show Fundraiser
 I would like to donate a different amount______ towards your Variety Show Fundraiser
Business Name (if applicable) _______________________________________________________
Name __________________________________________________________________________
Mailing Address _________________________________________________________________
City, State, Zip ___________________________________________________________________
Phone: _________________________ Email: __________________________________________
Please return this sponsorship form & donation to:
West Holt Medical Services Foundation
PO Box 214 Atkinson, NE 68713
Thank You for Your Support & Generous Contribution!
www.westholtmed.org