Sponsorship, In-Kind Donation, and Dedication Opportunities Looking for a way to have a greater impact? We would greatly appreciate your participation in Dollars for Dysautonomia to help make our awareness event a success! We will provide a written receipt for tax deductible purposes. Sponsorships Platinum: $5,000 • Your logo featured on all pictures taken at the photo booth. • Two tickets to the event. • Your logo imprinted on our signature pint glass given to all guests. • A full-page, full-color advertisement in the pamphlet for the evening. • Your logo projected on a wall the night of the event. Diamond: $2,500 • Your logo imprinted on our signature pint glass given to all guests. • A full-page, full-color advertisement in the pamphlet for the evening. • Your logo projected on a wall the night of the event. Gold: $1,000 • On the night of the event, guests will be treated to a signature turquoise cocktail. With this sponsored drink, we will have a “turquoise toast” to raise awareness for dysautonomia. • A full-page advertisement in the pamphlet for the evening. • Your logo projected on a wall the night of the event. Silver: $500 • A full-page advertisement in the pamphlet for the evening. • Your logo projected on a wall the night of the event. Bronze: $250 • A half-page advertisement in the pamphlet for the evening. • Your logo projected on a wall the night of the event. In-Kind Donations We would gladly appreciate any goods or services you would like to donate for our live auction and drawing. • Your name listed in the pamphlet for the evening. Dedications Gold: $1,000 • A full-page, color dedication with photo and message in the pamphlet for the evening. • Your name projected on a wall the night of the event. #MAKENOISEFORTURQUOISE

Silver: $500 • A full-page dedication with photo and message in the pamphlet for the evening. • Your name projected on a wall the night of the event. Bronze: $250 • A half-page dedication with photo and message in the pamphlet for the evening. • Your name projected on a wall the night of the event. Please return the completed form on the next page with payment or donation by mail by October 1st to Dollars for Dysautonomia, C/O Tanya Friesen, 6572 S. Newland Way, Littleton, CO 80123, or by email at [email protected]. Please make checks payable to Dysautonomia International with Dollars for Dysautonomia in the memo line. If you would prefer to pay with a credit card, let us know via email and we can call you to get your payment information. If you have any questions you can email us at [email protected] or call Tanya Friesen at 720-280-0449. Thank you for your consideration of this request. Your support will help us to generate awareness and raise funds for research of this serious medical condition.

#MAKENOISEFORTURQUOISE

Pledge Form for Dollars for Dysautonomia Yes! I am committed to the following sponsorship level of: Platinum - $5,000 Diamond - $2,500 Gold - $1,000 Silver - $500 Bronze - $250 Yes! I am committed to being an in-kind donor of the following good(s)/service(s) valued at $_________________: ____________________________________________________________ Yes! I am committed to the following dedication level of: Gold - $1,000 Silver - $500 Bronze - $250 Individual/Business Name to Appear: ________________________________________ Contact: ______________________________________________________________ Address: ______________________________________________________________ Email: ________________________________________________________________ Phone #: ______________________________________________________________ If applicable, we will contact you to request your business logo or dedication photo and message via email. #MAKENOISEFORTURQUOISE

Pledge Form for Dollars for Dysautonomia.pdf

If you would prefer to pay with a credit card, let us know via email and we can. call you to get your payment information. If you have any questions you can email ...

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