Derby Day Sponsorship
Desired Sponsor Level
Presenting - $5,000 (4 patients assisted)
Run For The Roses - $2,500 (2 patients assisted)
Tastes Of The Derby - $1,000 (1 patient assisted)
Friends Of The Derby - $500 (1/2 patient assisted)
If "Friends Of The Derby", Please Specify Desired Sponsorship.
Mint Julep & Cocktail Bar
Ladies Best Hat Competition
Gentlemen's Best Dressed Competition
If My Initial Selection Is Not Available, Please Take The Following Action:
Contact Me For Further Instruction
Apply Funds Where Needed
I Am Not Able To Sponsor At This Time, But Would Like Someone To Contact Me Regarding Contributing To This Event Via Merchandise Donation, Etc.
Yes, Please Contact Me
Sponsorships will be granted on a first come first serve basis by date payment is received. Payments may be made via check mailed to HCCS PO Box 3417 McDonough, GA 30253 or through the "Donate" page at www.henrycountycancerservices.com. Payments must be received by 4/20/2017. I confirm I am the responsible party for this payment and that I am authorized by the company listed above to enter into a sponsorship agreement. By sponsoring this event and submitting this form, I authorize Henry County Cancer Services to utilize the company name listed above and any logo provided in the file upload feature below on marketing material related to this event.
Upload Company Logo Image File (Optional)
Max file size: 20MB
Payment Will Be Provided By
Check Via US Mail
Online Via HCCS Donation
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Tax ID # 86-1139278 | 501(c)3 Nonprofit
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