FLORIDA HOSPITAL�S GALA WEEKEND by dEGCSJ

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									                                         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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