Special Musical Guest Kenny Loggins

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					                                        To benefit Cleveland Clinic Children’s Hospital
                                                     Friday, July 24th, 2009
                                    Special Musical Guest: Kenny Loggins
                                         Master of Ceremonies: Stefani Schaefer
                                            Honorary Chairman: Umberto Fedeli
                         The 19th Annual HeartThrob Ball is a black-tie dinner, dance and silent auction.
                               Renaissance Cleveland Hotel, Cleveland --- 6:00pm to 11:30pm


                                              Corporate Sponsorship Form
           ♥ $25,000            ($23,100) potential tax deductible amount) A premier table for 10, including a special gift and
                                complimentary valet parking for each table guest; A prominent full-page ad and sponsorship
   Signature Sponsor            listing (with logo) in event program; and recognition on the HeartThrob Ball page of the
                                Cleveland Clinic web site and event signage. You may help customize an underwriting option
                                for which your company will be recognized.

                                ($13,100 )potential tax deductible amount) A premier table for 10, including a special gift and
                    ♥ $15,000   complimentary valet parking for each table guest; A prominent full-page ad and sponsorship
  Presenting Sponsor            listing (with logo) in event program; and recognition on the HeartThrob Ball page of the
                                Cleveland Clinic web site and event signage
             ♥ $10,000          ($8,100) potential tax deductible amount) A table for 10, including a special gift and
                                complimentary valet parking for each table guest; A full-page ad and sponsorship listing (with
      Inspiring Heart           logo) in event program; recognition on the HeartThrob Ball page of the Cleveland Clinic web
                                site and on event signage.

             ♥ $5,000           ($3,400) potential tax deductible amount) A table for 10, including a special gift and
      Spirited Heart            complimentary valet parking for each table guest. A Half-page ad and listing (with logo) in
                                event program; recognition on the HeartThrob Ball page of the Cleveland Clinic web site and
                                on event signage.

         ♥ $3,500    ($2,100) potential tax deductible amount) A table for 10, including a special gift and
 Compassionate Heart complimentary valet parking for each guest; Your company name listed (with logo) in the
                                event program.

        We’re sorry to miss the HeartThrob Ball this year, but wish to support the Cleveland Clinic Children’s Hospital.(Program Ads are
        available for purchase, please call for details)
                Total enclosed: _______________________                               Payment to follow

Name:                                                                              Title:

Company Name:

Mailing Address:

City, State, Zip:

Signature:                                                                                  Phone:


Please make your check payable to The Children’s Hospital, Cleveland Clinic. Mail to the attention of Heather Huston Barkley,
                Cleveland Clinic Children’s Hospital, 2801 Martin Luther King Jr. Dr., Cleveland, OH 44104.
   Or you may fax this form to Heather at 216/636-2524. For additional information or questions, please call 216/445-1038.
To ensure listing in the event program, this form, along with camera-ready logo and ad art, must be received by
July 1st, 2009. Visit our web site at www.clevelandclinic.org/heartthrob.

				
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