a Sponsor and Registration Form form.

4TH Annual
5K Run with the Nurses
AnMed Health North Campus
2000 East Greenville Street, Anderson
Participation limited to 30 Pre-Registered Runners
• Register by 8:30AM. Run starts at 9AM
• Prizes will be given to 1st, 2nd and 3rd place
• Collect Donations: A prize will be given to the racer
who raises the most in donations.
• Encourage others to join you!
• Dare someone to race you!
• For more information see the brochure online
http://andersonfreeclinic.org/events-2/
Sponsored by:
Walk with the Docs
TEAM COMPETITION
Categories for teams judging:
• Largest Team: Team with the largest number
of registered members
• Most $$ Raised: Most donations raised in addition
to t-shirt purchases/registrations and sponsorships
• Team Wearing the Most 2016 Walk T-Shirts
• Best Accessory: An accessory that helps create
your team identity
Sponsored by:
Tom & Sherrill Hall
The Sconyers Family
BE A PART OF IT!
• Be a Sponsor: Sponsorship opportunities ranging
from $100 to $2,500 are still available
• Volunteer to Help the Day of the Walk & Race
• Come and Cheer on the Participants
• Can’t come to the Walk? Make A Donation
to support the Free Clinic!
For more information contact: Stephanie at 864-512-7812 or [email protected]
or visit andersonfreeclinic.org
Return Your Registration Form in the enclosed envelope
Be Sure to Register Soon — After March 13th, we cannot guarantee the availability of t-shirt sizes
Anderson Free Clinic
2016 Walk with the Docs
&
Presented this year
by
5K Run with the Nurses
Saturday March 19th
Anderson - Race and Walk
At AnMed Health North Campus - 2000 East Greenville St
• 8:30 a.m. – Sign in for Run with the Nurses
• 9:00 a.m. – Run with the Nurses (31 pre-registered racers)
• 9:15 Registration for Walk & Team Competition
• 9:30 Teams judged
• 10:00 a.m. Walk begins. Light Refreshments after
Honea Path – Walk
Team Competition
Sponsored by
Tom and Sherrill Hall
The Sconyers Family
5K Run with the Nurses
At the Honea Path Middle School Football Field
• 10:15 a.m. Registration and mingling
• 11.a.m - Walk begins. Light Refreshments after
Sponsored by
Yes! I would like to become a Walk with the Docs Sponsor!
! $1,000 – Sustaining Sponsor ! $500 – Supporting Sponsor ! $250 – Community Sponsor
! $100 – Friend of the Free Clinic Sponsor
! I will not be a sponsor but want to walk. I want ___ t-shirts making $25 donation for each = $ _______ total
! No sponsorship, no t-shirt. I just want to make a
donation of $ _______________
Name as it should appear on
Walk Sponsor Recognition Materials:
Name as it should appear on Walk Sponsor recognition materials
__________________________________
Mail this
form for sponsorships, donations & t_____________________________________________
shirts orders with your check payable to:
Name for receipt and contact (if different than above):
ANDERSON FREE CLINIC P.O. BOX 728
_____________________________________________
Anderson, SC 29622
*
You may also pay online at
www.andersonfreeclinic.org/donations
Please include online all applicable info:
Walking / Type Sponsor/ # Tshirts
Mailing Address:______________________________
City: ___________ State: ______ Zip: ________
Phone:______________________
Email: ___________________________
____ I will pick up the t-shirts at the Free Clinic. Reserve as indicated
____ I will pick up my t-shirts at the walk. Reserve as indicated
*Additional shirts can be purchased for $25 each.
Yes, I would like to purchase additional ____ t-shirts at $25 each
____ No t-shirts necessary this year
Payment is enclosed via Check # ________ If
paid by checks, we will email receipt if all possible.
Email for receipt if different from above is:
_____________
WE CANNOT GUARANTEE AVAILABILITY OF SIZES AFTER MARCH 3rd
T-shirts
sales at:
5K Run with the Nurses : More info on Website. To run, call 864-512-7812
TEAM COMPETITION AWARDS: 1) Largest team registered in attendance) 2)
Team raising the most donations in addition to the t-shirt purchased or
sponsorships above $250 3)Team wearing the most 2016 Walk t-shirts 4) Best
accessory to go with the t-shirt to help them be identified as a team.
Anderson:
Anderson Free Clinic: 414 N Fant
AnMed Gift Shops @ North Campus
AnMed Pharmacy @ North Campus
Kitchen Emporium & Gifts: 311 N Main St.
Honea Path:
The Commercial Bank in HP and Belton
Honea Path Town Hall
News Chronicle in Belton
WEAR YOUR T-SHIRT ON MARCH 4 and take a picture (individual or Group picture) for a chance to win awards* for
Best Pre-Event Picture. Post picture on Friends of the Free Clinic’ Facebook page. *Judges & People’s Choice awards.
th
Best Pre-Event Picture Winners will be presented the award at Walk with the Docs… Run with the Nurses on March 19
Walk T-shirts (1,000) – size varies
"
"
"
if
confirmed
by Jan 28
Posters printed with your name/logo
75
75
75
Billboard
"
"
Newspaper advertising (2)
"
"
" Front&
" Front&
back
back
Name/Logo on Walk Materials:
Registration forms (2,000)
Website (40,000 hits per year)
Unlimited
Unlimited
After 3/14,
please call
After 3/14,
please call
" Front&
back
"
"
"
"8wks
"4wks
"2wks
AFC E-mail footers, Feb-Mar 2016*
Team Competition promotion:
flyers, website, and Facebook
Recognition at Walk in form of:
"
"
"
______. (YOUR TAG LINE) 2015 Walk with the Docs Team
Competition Sponsor
"
"
In Anderson
In
Anderson
"
"
"
"
In Anderson
"
In
Anderson
"
Banner with name only
"
"
Business sign with name only
Recognition as Sponsor in newspaper
thank you ad after event
Number of T-shirts received w/
sponsorship
Unlim
ited
Working together works: Anderson Free Clinic and AnMed Health
Presenting Sponsor of the 2015 Walk with the Docs
" !!!
Banner with name & logo at 1
Walk (sponsor choice)
Post event recognition
Individual or Business featured in article
in 1 newsletter (2,000 recipients)
Name or logo by post Walk article in 1
Free Clinic newsletter Logo on all Team Awards & Award
Presentation bySponsor representative
Website - exposure varies
Framed Recognition Photo presented
after the Walk
After 3/14,
please call
"
Facebook page (picture and quotes)
Award named after person or business
Award Presentations to winner teams
Table with business information
and product display
Banner with name & logo
at both Walks
Unlimited
Friend of
the Free Clinic
$100
RESERVED
Limit/Deadline
Community Sponsors
$250
RESERVED
BENEFITS TO SPONSOR:
Supporting Sponsors
$500
Partner Sponsors
$2,500
RESERVED
Limited
Please
Call
TOGETHER WE MAKE A
DIFFERENCE!
Sustaining Sponsors
$1,000
5K
run with the nurses
Austin & Pray Family
Dentistry
Team Competition
Sponsors:
Tom and Sherrill Hall
The Sconyers Family
Presenting Sponsor
2016 Walk with the Docs & 5K Run with the Nurses Sponsorship Levels
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35
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ANDERSON FREE CLINIC | SATURDAY, MARCH 19TH
• Walk to support the work of the Free Clinic to provide
healthcare services so desperately needed by so
many in our community
• Become a Walk Sponsor
• Purchase a Walk with the Docs t-shirt available
at the Free Clinic and many local outlets
• Share Event Information on Your Facebook
• Encourage Your Friends to Participate
• Form a Team and Collect Donations
• Register to Run with the Nurses in the annual 5K race
around the track at AnMed Health North Campus
(pre-registration required)
Anderson Free Clinic
NON PROFIT ORG
U.S. POSTAGE
PO BOX 728
ANDERSON, SC 29622
PAID
Permit #419
Anderson, SC
864.226.1294
WWW.ANDERSONFREECLINIC.ORG
ee Clinic
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MARCHIT1H THE DOCS
WA L K5 KWR u n w it h t h e N u r s e s
And
presents
27th Annual
WALK WITH THE DOCS
And 5K Run with the Nurses
Anderson: AnMed Health North Campus
2000 East Greenville Street, Anderson
9:15am Registration - 10:00am Walk begins
Honea Path: Honea Path Middle
School Football Field
10:15am Registration - 11:00am Walk Begins