2011 Key to the Cure Kick-Off Reception October 19, 2011 5:30–9:00 p.m. To benefit the Kristin Hoke Breast Program at Jupiter Medical Center SPONSOR AGREEMENT Contact Name: ______________________________________ Phone: ________________________ Company Name: _____________________________________ Fax: __________________________ Street Address: _____________________________________________________________________ City, State, & Zip_____________________________________ Email: ________________________ For recognition on event signage, please provide your name exactly as you would like it to appear, no later than 9/15/11. _____________________________________________________ WE WOULD LIKE TO SPONSOR THE FOLLOWING: Haute Couture ….. $5,000 (includes 20 attendees to reception; corporate name and logo on invitation, signage listing and included in media releases) Fashion Icon ..... $2,500 (includes 10 attendees to reception; signage listing and include in media releases) Fashion Revolutionary ….. $1,000 (includes 6 attendees to reception and signage listing) Fashion Diva ….. $500 (includes 4 attendees to reception and signage listing) Fashion Maven ….. $250 (includes 2 attendees to reception and signage listing) SPECIAL COMMENTS /REQUESTS: Please honor a special person for our sponsorship (see name below) In honor/in memory of ______________________________________________________________________ Check enclosed payable to Jupiter Medical Center Foundation. Please charge my credit card ______ Amex ________ Visa ______ MasterCard Exp. Date _______ Name on card ________________________________ card # ______________________________________ _________________________________________________________________________________ Sponsor’s Signature Date KEY TO THE CURE is a national four-day shopping event at Saks Fifth Avenue of which partial proceeds benefit the treatment of women’s reproductive cancer. The Kristin Hoke Breast Program at Jupiter Medical Center is the designated beneficiary of the KEY TO THE CURE event at Saks Fifth Avenue, Palm Beach Gardens. Return to: Jupiter Medical Center Foundation Attn: KTTC 1210 S. Old Dixie Highway Jupiter, FL 33458-7299 Phone: 561-263-5728 Fax: 561-263-4493 Jupiter Medical Center Foundation is a 501(c) 3 not for profit organization as recognized by the United States Internal Revenue Service. Our Federal Tax Identification Number is 65-0132406. JMCF is registered with the State of Florida Department of Consumer Services #CH3456. A copy of the official registration and financial information may be obtained by the Division of Consumer Services by calling 1-800-435-7352. Registration does not imply endorsement, approval or recommendation by the state.
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