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* indicates required fields |
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This is a:
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Personal Donation Corporate Donation |
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Company OR Individual Sponsor Name *
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Name (as you want it to appear on promotions):
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Would you prefer to remain anonymous?
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Yes |
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Contact Person *
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Contact Person’s Title:
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Address:
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City:
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State:
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Zip/Postal Code:
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County (not Country):
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Home Phone (if are an individual sponsor):
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Cell Phone:
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Work Phone (if are a corporate sponsor):
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Fax:
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Email:
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Website:
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Sponsorship Level
(to see benefits provided
at each level, click here)
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Product/In-kind Services Donation (i.e. entertainment, food, drinks, balloons, parking, etc.)
-Product/Service Cash Value (required to put you at a sponsorship level):
Ultimate Smile Sponsor = $50,000 (or more)
Diamond Smile Sponsor = $25,000
Platinum Smile Sponsor = $10,000
Premiere Smile Sponsor = $5,000
Golden Smile Sponsor = $2,500
Grand Smile Sponsor = $1,000
Shining Smile Sponsor = $500
Other Amount: |
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Please describe your in-kind
donation and be specific
(i.e. Two theme park characters,
1,000 hot dogs, etc.)
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Ultimate, Diamond, Platinum, Premiere, and Golden Sponsors: click here to email your logo to our office.
Deadline: Friday, April 16, 2010 to be listed in printed publications |
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Thank you for your support!
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| Payment |
| By check: Please make your check payable to "Nathaniel's Hope" and send to Nathaniel's Hope, 2300 Jetport Drive, Orlando, FL 32809. Indicate “Make ‘m Smile Sponsorship” in the memo area of the check. |
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| By credit card: Please call our office at 407-857-8224. |
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| You’re invited! |
| We would love to have you at the event on Saturday, June 5, 2010 so you can see how you helped Make ‘m Smile! |
Yes, I will be there as a Buddy and will walk with a VIP family around the event.
Adults: Children: |
Yes, I plan on stopping by.
Adults: Children: |
| No, I am unable to attend. |
| Yes, I will be there and will need an exhibitor booth (please make sure you fill out the “exhibitor” portion of this form below) |
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| Publicity |
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What is the best way for you to help us spread the word about this event?
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11x17 Posters - How many?
8-1/2x11 Flyers - How many?
5-1/2x8-1/2 Flyers - How many?
Email/Newsletter Announcement (indicate deadline)
Other |
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| Exhibitor Questions |
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You only need to complete this portion if you wish to have a display area, and…
1) You are a gift-in-kind contributor for entertainment, food, etc.
OR
2) You gave $1,000 or more in financial gifts (your donation must be received before exhibitor space can be confirmed).
Deadline for exhibitor space: Monday, May 3, 2010
Otherwise, scroll down to the bottom of this form and click on Submit.
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Day of Event Contact Name:
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Day of Event Cell Phone:
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Day of Event Email:
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Number of Representatives attending:
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Roaming entertainment, no exhibit space needed
Need exhibit area (includes one sign, one 10’ x 10’ tent, one 6’ table (not skirted or clothed), and two chairs)
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Electrical outlet needed?
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No Yes (no guarantee - there are limited # of booth locations to accommodate request) |
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Purpose(s) for Electricity:
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Water needed?
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No Yes (no guarantee - there are limited # of booth locations to accommodate request) |
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Purpose(s) for Water:
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Is there anything else that you need us to provide (i.e. parking area, changing area for characters, etc.)? Please explain what and why it is needed.
(All requests will be evaluated on a need basis. We will let you know if your request has been honored.)
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| By typing my information in below, I acknowledge the following: |
| IMAGE CONSENT: Film/video photography will be taking place before, during, and after Make 'm Smile on behalf of Nathaniel's Hope. I grant Nathaniel's Hope and any third party it may authorize, the right to photograph, make video and/or audio recordings of me and/or my representative(s) for use in or in connection with exhibitions, video, magazines, newspapers, internet or other publications, or on television or radio. |
| WAIVER: As a representative of my company/organization, I agree to indemnify and hold harmless Nathaniel's Hope from all cost, expense, or liability arising out of our participation as an exhibitor at this event. I do hereby waive all claims for damage or loss to me or my company/agency’s property which may be caused by any act, or failure to act, by Nathaniel's Hope, its officers, agents, or employees from me or any representative of my company/organization. |
| TERMS: I have read the exhibitor information sheet and agree to the terms set forth by Nathaniel's Hope. If I will not be present at the event, I will communicate this information to the person(s) that will be representing me or my organization/company at the event. |
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Name *
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Company/Organization Name *
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