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EVENT SPONSORSHIP AGREEMENT <br />2012 RELAY FOR LIFE OF SUNNY ISLES BEACH.GOLDEN BEACH.AVENTURA <br />Please print all names legibly and exactly as they should appear in all publications. <br />❑ Corporate ❑ Individual ❑ Foundation <br />Company <br />Mailing <br />City State Zip <br />Phone <br />E -Mail Address <br />Please check payment method: <br />Make checks payable to: American Cancer Society. Check enclosed: $ <br />Credit Card Payment: Visa Master Card Discover AMEX <br />Credit Card number: Expiration Date: <br />Cardholder Name: <br />Bill me later: Send invoice via (choose one): Email Mailing Address <br />Please circle sponsor level: Committee of 18 Diamond Gold Silver Bronze <br />Luminaria Community Track Marker (3) Track Marker (1) <br />For credit card payment method you can also contact Sally Schwartz at 305.779.2862 <br />Contributions received before July 6th, 2012 will receive full benefits as outlined in the attached <br />proposal. <br />Please submit agreement and logo (in tiff or Jpeg format) by July 6th, 2012. Exception: Track maker <br />deadline for submission and logo (in tiff or Jpeg format) is July 23. <br />Signature of Donor <br />Team Name <br />Date <br />Please sign and retain a copy. For further information, please contact Sally Schwartz of the American <br />Cancer Society, Florida Division, 305.779.2862 Or FAX to 305 - 592 -5140 <br />Thank you for this tax - deductible contribution <br />and for your commitment to the fight against cancer. <br />A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE <br />OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL -FREE <br />1- 800 -435 -7352, WITHIN THE STATE. REGISTRATION DOES NOT IMPLY <br />ENDORSEMENT, APPROVAL OR RECOMMENDATION <br />BYTHE IM STATE. <br />THE OFFICIAL SPONSOR OF BIRTHDAYS." <br />Please sign form and return to: <br />Sally Schwartz <br />Relay For Life of <br />Sunny Isles Beach.Golden Beach.Aventura <br />8095 NW 12 Street, Suite 200 <br />Miami. FL 33126 <br />8095 NW 12th Street, Suite 200 1 Doral, FL 33126 <br />email: Sally.Schwartz @cancer.org <br />Phone: 305.779.2862 1 fax: 305.592.5140 <br />A WORLD WITH LESS CANCER IS A WORLD WITH MORE BIRTHDAYS <br />For cancer information anytime, call 1.800.227.2345 or visit cancer.org <br />