SPONSORSHIP FORM
NAME: ______________________________________________________________________________
BUSINESS: __________________________________________________________________________
PHONE: _____________________________________________________________________________
Please select a level of sponsorship:
______ Level 5 $50 or Less
•A sincere "Thank You" from the Blackwell Family.
______ Level 4 $75
•Your name/business name on the back of the Official Race T-Shirt.
______ Level 3 $100
•Your Company's Logo on the back of the Official Race T-Shirt.
•Will receive one event t-shirt.
_____ S _____ M _____ L _____ XL _____ 2XL
_______ Level 2 $150
•Your company’s logo on the back of the Official Race T-Shirt.
•Will receive two event t-shirts.
Please write the number of t-shirts and what sizes you would like.
_____ S _____ M _____ L _____ XL ____ 2XL
______ Level 1 $250+
•Recognized as a major sponsor. Large Logo on Official Race T-Shirt.
•Will also receive a space/area on the Registration/Information table to
advertise their business. (Pamphlets, flyers, cups, etc.)
•Receive up to three event t-shirts.
_____ S _____ M _____ L _____ XL ____ 2XL
Please make checks payable to: The Chromosome18 Registry & Research Society c/o Susan Blackwell. Any company sponsoring at level 3 or 4, please include a business card or something with your company logo on it for t-shirt imprint. Money is due no later than July 28, 2023, to help purchase event items.
Mail to: Susan Blackwell
110 Confer Lane
Wellsboro, Pa 16901
susanblackwell623@yahoo.com
Contact: (570) 787-3490
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