40 Years of Care, Compassion, Connection & Community Anniversary Celebration & Fundraiser - April 21, 2017

Sponsorship Form Federal Tax ID No. 94-2431483 Name or Company:______________________________________________________________________________ Contact:_______________________________________________________________________________________ Address:_______________________________________________________________________________________ City:____________________________________ State:________ Zip: _____________________________________ Phone: ( ) __________________ Fax: ( )_________________ Email:________________________________ I WOULD LIKE TO BE A SPONSOR OF THE FOLLOWING CATEGORY:

$15,000 CELEBRATE 40! PACKAGE: 4 Tables*, 16 bottles of premier wine, 40 copies of Sheryl Sandberg’s NEW book “Option B**,” 40 raffle tickets, Company logo on banner placed in Main Hall, 2-page spread ad display in event program, Company logo and recognition on table placards placed on all dining tables, Logo on event website (linked to your website); Tax deductible amount - $9,200

$10,000 CARE PACKAGE: 3 Tables*, 12 bottles of premier wine, 30 copies of Sheryl Sandberg’s NEW book “Option B**,” 30 raffle tickets , Full-page ad display in event program, Company logo and recognition on table placards placed pre-event reception tables, Logo on event website (linked to your website); Tax deductible amount - $5,600

$7,500 COMPASSION PACKAGE: 2 Tables*, 8 bottles of premier wine, 30 raffle tickets , Company logo on banner placed in pre-event reception hall, Full-page ad display in event program, Logo on event website (linked to your website); Tax deductible amount - $4,900

$5,000 CONNECTION PACKAGE: 2 Tables*, 4 bottles of premier wine, 20 raffle tickets , Half-page ad display in event program, Logo on event website (linked to your website); Tax deductible amount - $2,450

$2,000 COMMUNITY PACKAGE: 1 Table*, 5 raffle tickets, Logo on event website (linked to your website); Tax deductible amount - $750

$500

COMFORT PACKAGE: 2 individual tickets, Logo on event website (linked to your website); Tax deductible amount - $250

I would like to underwrite this event and enclose my tax deductible gift of $ ____________. * 10 seats per table

**Publishing date expected early spring 2017

□ I have enclosed Check # in the amount of $ □ Please charge my Credit Card in the amount of $_________________

. (complete required credit card information below)

Credit Card Information: CARD # ___________________________________________ _ _ Name on Card: __ _____ Exp. Date:__________________ CVC ____________ Billing Address: _______________________________________________ ___ State:__________ Zip:___________________ For more information, contact:

Please remit your payment to:

Sarah Dover (650) 321-5272, ext 23 / email: [email protected] OR Jim Santucci (650) 321-5272, ext 12 / email: [email protected]

Kara 457 Kingsley Avenue Palo Alto, CA 94301 By fax: (650) 473-1828 (Email [email protected] regarding online payment options)