CR3 News Magazine ABOUT CR3 - Page 18

SPONSORSHIP COMMITMENT FORM Please fill out this form and submit via: Email: Gloria@citizens4radonreduction.org OR Mail to: 618 Evansville Ave. Waterloo, IL 62298 Full Sponsor Name (as you would like to be listed): __________________________________________________ Contact: Phone: __________________________ Fax: ________________________________________________ Street: _________________________________ City: ________________________________________________ State: _________________________________Zip: _________________Email: ___________________________ Website URL: ____________________________________ Facebook URL: _______________________________ PLEASE INDICATE SPONSORSHIP LEVEL [ ] GOLD Sponsor: $4,000 [ ] BRONZE : [ ] SUPPORTER : [ ] DONATION : $__________ $500 Will you be submitting a logo? [ ] YES [ ] NO Will you be submitting an Advertisement? [ ] YES [ ] NO $2,000 Please send your logo to jackie@citizens4radonreduction.org or Gloria@citizens4radonreduction.org . The logo should be at lead 200 dpi. to ensure its proper inclusion on printed materials. Include the sponsorship level in your email and indicate that logo is attached. Logos can be submitted in .jpg or .png format. PAYMENT INFORMATION [ ] NAME AND ADDRESS SAME AS ABOVE Name: _____________________________________________________________________________________ Street: ___________________________________________ City: _____________________________________ State: ________Zip: _____________ Email: _______________________________________________________ Phone: ______________________________________ Fax: ___________________________________________ Checks payable to: Citizens for Radioactive Radon Reduction Mail to: Citizens for Radioactive Radon Reduction, 618 Evansville Ave. Waterloo, IL 62298 Signature: __________________________________________________Date: ___________________________ Citizens for Radioactive Radon Reduction, 618 Evansville Ave. Waterloo, IL 62298 For more information please contact Gloria@citizens4radonreduction.org or Call: (618) 830-4660. Citizens for Radioactive Radon Reduction is a 501(c)(3) non—profit organization ID 47-1117479. Sponsorships are non—refundable | www.citizens4radonreduction.org | info@citienes4radonreduction.org