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October Event For a Cure

4th Annual Ol’ Country’s Boot Scootin’ for PanCAN
October 15, 2005
University of N. Texas Health Science Center in the Atrium
Fort Worth, TX 76107

Sponsor Sign Up Form

Company Information

Company:

Address:

City: State: Zip:

Phone: Fax: E-mail:

Name of Individual Authorized to make Donation (print):

Signature of Authorized Individual:


 We will sponsor Ol’ Country’s Boot Scootin’ for PanCAN as a:




Platinum Spur Sponsor
$1,000 or more • PanCAN Newsletter & Website
• Pre-event advertising & media
• Signage
• Program Book
• 20 complementary event registrations


Gold Spur Sponsor
$500 to $999 • Pre-event advertising & media
• Signage
• Program Book
• 10 complementary event registrations
Silver Spur Sponsor

$250-$499 • Signage
• Program Book
• 5 complementary event registrations

Bronze Spur Sponsor
$100 - $249 • Program Book
• 2 complementary event registrations
We will sponsor Ol’ Country’s Boot Scootin’ for PanCAN by providing the following in-kind donation:
____________________________________________________________________________________

____________________________________________________________________________________________

This in-kind donation has a value of $___________which was determined by: ___________________________________________
(Please indicate the basis used for valuation, i.e. retail value, invoice price, etc)

Please return this letter of intent and your monetary contribution (if applicable) by August 31, 2005. All companies making in-kind donations will be contacted to arrange for pick-up/drop-off of their products (if applicable) prior to the event. All sponsorship forms and monetary contributions should be sent to:

Virginia Griffin Thank you for your support of this fundraising event for PanCAN!
PanCAN Team Hope Texas – Fort Worth
2509 Wills Way Dr. Nat'l Headquarters 2221 Rosecrans Ave. Suite 131
Granbury, TX 76049 Phone # 817-573-8896 El Segundo, CA 90246 877-2PAN

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