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
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