The American Cancer Society’s Relay For Life Estancia Valley Sponsorship Agreement Name: Company or Family Name: Mailing Address: City
State
Zip
Phone#
Sponsorship Levels Platinum Sponsor - $2,000 Bronze Sponsor - $250
Gold Sponsor - $1,000
Other - $_____________
Silver Sponsor - $500
In-Kind $_____________
Name of sponsor as it should appear in the program: (Please Print) ο
Check enclosed: $_____________ (Make checks payable to the American Cancer Society)
ο
Charge to Credit Card: $____________ ____ VISA
____ MasterCard
____ American Express
No. ______________________________ Expiration Date: ____/____/20____ ο
Please bill me for my $_____________ sponsorship by ____/_____/2009.
________________________________________ ___________________ Signature of Sponsor Date Now you can contribute online: www.relayforlife.org/estanciavalleynm
This year, with any $500 or higher contribution, Donor receives a Sponsor’s Banner. Thank you for your support. Please mail to American Cancer Society, 10501 Montgomery Blvd. NE, Albuquerque, NM 87111 or fax to 505-559-9433 Or Mail to Local Event Address: Post Office Box 646, Estancia, NM 87016 Kevin Ledwith, Relay Community Coordinator, 505-559-9424