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sponsorship opportunities - Eastside Domestic Violence Program

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PLEDGE FORM<br />

Check Sponsorship Level<br />

$10,000 Presenting Sponsor<br />

$ 5,000 Premier Sponsor<br />

$ 2,500 Corporate Sponsor<br />

$ 1,500 Table Sponsor<br />

$ 1,000 Patron Sponsor<br />

$ _____ Donation to LifeWire<br />

Sponsor’s Name<br />

Contact<br />

(As you would like it to appear on printed materials)<br />

Title<br />

Address<br />

City<br />

Phone<br />

E-mail<br />

Yes, I would like to receive news from LifeWire!<br />

State<br />

Fax<br />

Website<br />

Please do not send me news.<br />

Zip<br />

Please find my/our check or credit card number enclosed for the amount I have indicated above.<br />

Please bill me/us for the amount indicated above.<br />

Please make your check payable to LifeWire or Charge: Visa MasterCard<br />

Account Number:<br />

Expiration Date:<br />

Authorized Signature:<br />

Printed Name:<br />

Please email or fax this completed form by August 17th<br />

1<br />

to ensure your name is on the marketing materials:<br />

Attention: Tiffany Solack<br />

LifeWire<br />

Telephone: 425-562-8840 Ext. 249<br />

P. O. Box 6398<br />

Fax: 425-649-0752<br />

Bellevue, WA 98008<br />

E-Mail: tiffanys@edvp.org

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