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3rd Annual 5k Walk for Autism Sponsorship Form. Donor/Company Name:_____________________________________ Address:__________________________________________________ City:___________________ State:_________ Zip:________________ Phone:______________________ Fax:_________________________
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3rd Annual 5k Walk for Autism Sponsorship Form Donor/Company Name:_____________________________________ Address:__________________________________________________ City:___________________ State:_________ Zip:________________ Phone:______________________ Fax:_________________________ Email:____________________________________________________ Sponsorship Levels: YES, I would like to sponsor the Walk for Autism at the following level: Platinum Puzzle Sponsor ($1,500) * Recognition on Event Banner & all printed materials * Recognition on Event T-shirt * Recognition at Event via announcement * Recognition on Foundation’s website Gold Puzzle Sponsor ($500) * Recognition on Event Banner & all printed materials * Recognition on Event T-shirt * Recognition at Event via announcement Silver Puzzle Sponsor ($250) * Recognition on all printed materials * Recognition on Event T-shirt * Recognition at Event via announcement Bronze Puzzle Sponsor ($100) * Recognition on Event T-shirt * Recognition at Event via announcement In-Kind Goods:_________________________________ Please make checks payable to Monroe County Autism Foundation and send it along with this form to: 476 S. Liberty Ave. Attn: Mark Lemieux Bloomington, IN 47403