We Would Love For You To Join Us Please Reply Today!
Sponsorship


Purchase an Ad in the Program Donate an Item


Tickets

□ I will Sponsor a Casino Table for: $350 __________ $550 __________
□ Include me in your Program – I would like a _______ page ad for $______
□ I will Donate an Item for your Silent Auction ________________________
□ I want to Attend. I will purchase _______ tickets at $45 each. Total_____
□ I am unable to attend, please accept my tax-deductible donation of ______
My payment is enclosed: Check – may be drawn to the Conklin Center for the Blind
Or charge my account: □ Visa □ Master Card □ American Express
Acct. No. _____________________________ Exp. Date ________________
Contact Name _______________________________________________________
Business ___________________________________________________________
Address____________________________________________________________
Phone, Email _______________________________________________________
Please contact Denise Harlow – 386-258-3441, dharlow@conklincenter.org or mail to: Conklin Center for the Blind, 405 White Street, Daytona Beach, FL 32114
Deadline for Sponsorship or Ads is 1/18/2010. Email logo or ad.