ASDA SPONSOR! rough draft.docx.docx

Please fill out the following:
Name: ___________________________________ Email: __________________________________________
Name or Company/Store (optional):____________________________________________________
Address:______________________________________________________________ Apt#:________________
City:_________________________ State:________ Zip:_____________Phone#:______________________
Please select one of the following:
☐ Premiere Package: $1500-Sponsors 3 full dentures & 2 partial dentures. Large in
color company logo on race shirts; complimentary team of up to 20 participants with race
shirts; priority information table day of the race; personalized website sponsor page;
Facebook listing & company logo on all advertising material
☐ Diamond Package: $1000-Sponsors 2 full dentures & 1 partial denture. Large in
color company logo on race shirts; complimentary team of up to 15 participants with race
shirts; Facebook listing; logo display on race website
☐ Platinum Package: $700-Sponsors 2 full denture cases. Small black & white logo on
race shirts; complimentary team of up to 10 participants with race shirts; Medium
company logo on race website
☐ Gold Package: $350-Sponsors 1 full denture case. Small print of company name on
race shirts; listed on race website; complimentary registration for up to 5 participants.
☐Other: Donation Amount $___________________
For more information, please contact Adria Miner, Event Coordinator at:
[email protected]
Please make all checks or money orders payable to “ASDA at UT Arlington”
*Would you like to be Anonymous? Yes/No
*This donation is
☐ In memory of______________________
☐ In honor of _______________________
Thank you for your support!