sponsor sheet and pledge form

Transcription

sponsor sheet and pledge form
SPECIAL THANKS TO OUR 2014
MAJOR CORPORATE SPONSORS
PREMIER SPONSOR
Run for Ovarian Cancer
Mother’s Day Sunday, May 10th, 9 a.m. at
Springbank Gardens Bandshell
Wonderland Road and Springbank Drive
REGISTRATION FEE:
25.00
$
GOLD SPONSOR
London is a Canadian leader in Ovarian Cancer Research
in large part because of the funds and impetus derived
from the London Run for Ovarian Cancer.
Sunday, May 10 , 2015
5 K Run 1 K Run/Walk
springbank Gardens
bandshell
th
Online registration available at
www.runforovariancancer.ca
•Stay fit
•Have fun
•Spread life-saving information
•Silent auction
•Prizes
•Entertainment
BRONZE SPONSORS
Avoid the rush on run day. Register early and pick up
your T-shirt (guaranteed for those who register by May 1)
and run number from the Running Room at 620 Richmond St.,
London.
T-shirt pick up:..................Friday, May 8th - Noon - 8 pm
................................... Saturday, May 9th - 10 am - 5 pm
RUN ACTIVITIES at SPRINGBANK GARDENS
Final registration:................................................................................8 am - 9 am
Opening ceremonies:.................................................................................9:20 am
Start of run:..................................................................................................10 am
Ovarian Cancer may speak a very complex language,
but the more scientists are involved in interpreting
it, the faster we will translate our findings into early
detection or new therapies for Ovarian Cancer.
www.runforovariancancer.ca
Make cheques payable to London Run for Ovarian Cancer
RUN KIT PICK-UP
Your donation to this cause works directly to support
the Translational Cancer Research team at London
Health Sciences Centre. Translational research means
performing experiments that are clinically-relevant
and have the potential to directly improve the
survival of women with ovarian cancer or who are at
risk for getting this disease.
Join us in the fight to save lives by participating in
this year’s London Run for Ovarian Cancer and help us
to achieve our long-term goal of reaching our second
$1,000,000 in donations by 2017.
SILVER SPONSOR
Awards celebration:.......................................11:15 am (refreshments available)
On-line pledges now available
MATCHING GIFT SPONSOR
www.runforovariancancer.ca
Snap the QR Code
WIN GREAT PRIZES!
GIFT IN-KIND SPONSORS
Fantastic silent auction this year!
For kids - face painting, clowns, balloons
Extra registration forms available at the Running Room
OFFICIAL ENTRY FORM
Surname
Waiver: In consideration of your acceptance of this entry,
I hereby for myself, my heirs, executors, and administrators waive and release any and all rights and claims for
damages I may have against the Run For Ovarian Cancer,
or The City of London, their representatives, successors
and assigns, or against officers, directors or representatives of any of the above for any and all injuries
suffered by me in the Run For Ovarian Cancer. I also give
permission for the free use of my name and/or picture in
any broadcast, telecast or other account of this event.
I further attest and certify that I am physically fit, and
have sufficiently trained for competition in this event.
please print
First Name
Initials
Address (Include Apt. #, R.R. #)
City/Town
Province/State
(
)
Parent or Guardian Signature if participant is under 18
Area Code & Telephone
P L E DG E FO R M
Registrant’s Email Address:
Online registration available at
www.runforovariancancer.ca
Please send all monies after race to:
London Run for Ovarian Cancer
c/o 810 Maitland St., Unit #5
London, ON N5Y 5K3
Date
Athlete’s Signature
Postal Code
Help us to raise dollars for the fight against
Ovarian Cancer!
Instructions: In order to be eligible for prizes, please complete your
pledge form and collect your money and bring them both to the “pledge
desk” on race day or prior to race day at the Running Room. If you are
unable to collect all your money, inform the pledge desk of the amount
you have raised, then please collect the money as soon as possible.
Amount
Enclosed
$
I am unable to collect donations but
would like to support Ovarian Cancer
awareness at London Health Sciences
(tax reciepts for donations of $20 or
more, if donor information is clear and
complete). Please include all contact
details below.
Entry Fee
+$
ROC Donation
=$
Total
Please make cheques payable to London Run for Ovarian Cancer. Receipts for income tax purposes are issued for pledges of $20 or more, if donor information is clear and complete. Additional forms are available at the Running Room.
For the safety of those participating, NO DOGS, NO ROLLER BLADES AND NO BIKES.
Please print
Sponsor’s Name
Sponsor’s Address
City
Postal Code
Telephone
Amt. Pledged
Amt. Paid
Sample Donor
123 John Street
London
Z2B 4P5
(519) 123-4567
$40.00
$40.00
Total
Amt. Pledged
Amt. Paid