2017 COMMITMENT FORM

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2017 COMMITMENT FORM □ □

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YEAR LONG SPONSORSHIPS Hero ($10,000 or more) Champion ($5,000-$10,000) 50th Annual Pancake Day & Fun Fest Sponsorships Platinum ($1,500) Gold ($1,000)



Silver ($500)



Bronze ($250 or $350 with booth)

PANCAKE DAY BOOTH SPACE Free with Hero, Champion, Platinum, Gold, or Silver level of Sponsorship, check option: □ My organization would like to reserve a booth space □ My organization wants to donate booth space to a local non-profit serving children (Kiwanis will select organization) □ Don’t want booth space but want to hang banner at Pancake Day Bronze level: □ My organization wants to reserve a booth space and will pay $100 □ Don’t want booth space on Pancake Day

Company Name: Address: City:

Zip code:

Phone:

Email:

Contact Person Name: Email: Telephone: Kiwanis member: Payment due by check or credit card to confirm commitment □ Credit card Call Alan Watkins , Club Treasurer, at (970) 242-3260 for instructions (online) Email completed form to: [email protected] Please circle type of card: VISA MASTERCARD □ Credit card Printed name of cardholder Account number Expiration Date

CCV#

Authorized signature □ Check

Please make checks payable to: Grand Junction Kiwanis Foundation Mail check and Grand Junction Kiwanis Foundation form to: PO Box 1377 Grand Junction, CO 81502