SPONSORSHIP COMMITMENT FORM

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1 CONTACT INFORMATION Contact Name Company Name Addess SPONSORSHIP COMMITMENT FORM Thank you fo becoming a community patne though you 2015 sponsoship! You investment will help make a positive diffeence fo all those we seve. City State Zip Phone Fax SPRING GALA Platinum ($15,000) Diamond ($10,000) Amethyst ($5,000) Gold ($2,500) Silve () Fiend () WALK TO END ALZHEIMER S Pesenting Regional ($25,000) Ashland Pesenting ($15,000) Defiance Findlay Regional ($10,000) Lima Platinum ($5,000) Mansfield Diamond ($2,500) Mount Venon Sandusky Gold () Tiffin Silve () Toledo Bonze ($250) Williams County EDUCATION CONFERENCES Full-Day Half-Day Pincipal ($3,000) Pincipal () Undewite ($1,500) Undewite () Benefacto () Benefacto ($250) Beakfast () Aftenoon Beak ($300) Full-Day Confeence in Toledo (Sping 2015) Half-Day Confeences in Lima (Fall 2015) & Mansfield (Sping 2015) NEWSLETTER ADVERTISEMENT (20,000+ CIRCULATION) Fou Issues ($2,500) One Issue ($650) CORPORATE MEMBERSHIP (VALID FOR 12 MONTHS) Sustaining () Active () *MULTIPLE SPONSORSHIP DISCOUNT: SPONSOR MORE THAN ONE EVENT AND RECEIVE 10% OFF EACH SPONSORSHIP COMMITMENT. TOTAL 2015 COMMITMENT $ *PLEASE APPLY DISCOUNT IF APPLICABLE I am inteested in leaning about multiple yea commitments. I am inteested in hosting an event to aise money fo the Alzheime s Association, Nothwest Ohio Chapte. I am inteested in joining a Walk to End Alzheime s o Gala committee fo the Alzheime s Association, Nothwest Ohio Chapte. I am inteested in foming a team fo the Walk to End Alzheime s. I am inteested in joining the Alzheime s Wokplace Alliance (AWA). PAYMENT INFORMATION Invoice Check Enclosed Cedit Cad (Visa, MC, Discove, AME) # Expiation Date Secuity Code (last 3 digits on the back) Name on Cad Billing Addess City State Zip Signatue 11/11/14 Please make checks payable to Alzheime s Association, Nothwest Ohio Chapte Foms may be faxed to o mailed with payment to 2500 Noth Reynolds Road, Toledo, OH Questions o Comments? Contact Nick Vagas, Development Diecto at o nvagas@alz.og

2 2015 SPRING GALA Apil 11 The Pemie GALA SPONSORSHIP LEVELS Madi Gas Masqueade ship Oppotunities Platinum $15,000 Diamond $10,000 Amethyst $5,000 Gold $2,500 Silve Fiend Complimentay Event Tickets Recognition in Event Pogam Visible Signage Recognition on Chapte Website Recognition in Chapte Newslette 20,000+ Ciculation Advetising space in event pogam Pomotional Mateials Vendo table at Walk to End Alzheime s Reseved Seats with Table Signage Name Name Name Name Name Name Name Name Name Name Full page Half page 1/4 page 1/8 page Vebal Recognition Oppotunity to Addess the Audience To eceive full sponsoship amenities, completed fom and logos must be eceived by Januay 15, 2015 s may be sent to bwong@alz.og

3 2015 WALK TO END ALZHEIMER S Nothwest Ohio Chapte Ashland Defiance Findlay Lima Mansfield Mount Venon Sandusky Tiffin Toledo Williams County Pesenting Regional - $25,000 ECLUSIVE OPPORTUNITY 4 Advetisements in Chapte Newslette (20,000+ ciculation) pominent on font of Walk Day Pogam pominent on back and sleeve of Walk T-shits (2,500+ pinted) 25 Complimentay Walk T-shits pominent on font of Walk Bochue (17,500+ ciculation) Vendo table at Walk sites of choice pominent on Walk day sign at all Walk sites Acknowledgement by Maste of Ceemonies at all Walks pominent on Walk Banne pominent and name included in Media Announcements pominent on Walk Postes (4) 1 hou Alzheime s Association Educational Pogams at company Vendo table at Chapte Education Confeence of choice pominently displayed on Chapte Website homepage with link Company banne displayed pominently at Walk sites of choice (company to povide) Oppotunity fo epesentative to speak at Walk sites Oppotunity to povide quotes and inteviews in pess eleases and elated pomotional effots Awad pesentation at an intenal company function o Alzheime s Association event of choice Table at ou annual Sping Gala and ecognition in event pogam Pesenting - $15,000 2 Advetisements in Chapte Newslette on font of Walk Day Pogam on back of Walk T-shits 20 Complimentay Walk T-shits on font of Walk Bochue Vendo table at Walk sites of choice on Walk day sign at all Walk sites Acknowledgement by Maste of Ceemonies at all Walks on Walk Banne and name included in Media Announcements pinted on Walk Postes (2) 1 hou Alzheime s Association Educational Pogams at company Vendo table at Chapte Education Confeence of choice displayed on Chapte Website homepage with link Company banne displayed pominently at Walk sites of choice (company to povide) Oppotunity fo epesentative to speak at Walk sites 4 tickets to ou annual Sping Gala and ecognition in event pogam Regional - $10,000 1 Advetisement in Chapte Newslette on font of Walk Day Pogam on back of Walk T-shits 15 Complimentay Walk T-shits on font of Walk Bochue Vendo table at Walk sites of choice on Walk day sign at all Walk sites Acknowledgement by Maste of Ceemonies at all Walks on Walk Banne Name included in Media Announcements pinted on Walk Postes 1 hou Alzheime s Association Educational Pogam at company Vendo table at Chapte Education Confeence of choice displayed on Chapte Website sponso page with link Oppotunity fo epesentative to speak at Walk sites Platinum - $5,000 in Chapte Newslette on back of Walk Day Pogam on back of Walk T-shits 10 Complimentay Walk T-shits inside of Walk Bochue Vendo table at Walk sites of choice Acknowledgement by Maste of Ceemonies at Walk on Walk Banne Name included in Media Announcements pinted on Walk Postes 1/2 hou Alzheime s Association Educational Pogam at company Vendo table at Chapte Education Confeence of choice displayed on Chapte Website sponso page Diamond - $2,500 in Chapte Newslette on back of Walk Day Pogam on back of Walk T-shits 5 Complimentay Walk T-shits inside of Walk Bochue Vendo table at Walk site of choice Acknowledgement by Maste of Ceemonies at Walk Name displayed on Chapte Website sponso page Gold - Name in Chapte Newslette Name on back of Walk Day Pogam Name on back of Walk T-shits 5 Complimentay Walk T-shits Name inside of Walk Bochue Vendo table at Walk site of choice Acknowledgement by Maste of Ceemonies at Walk Name displayed on Chapte Website sponso page Silve - Name in Chapte Newslette Name on back of Walk Day Pogam 2 Complimentay Walk T-shits Name displayed on Chapte Website sponso page Bonze - $250 Name in Chapte Newslette Name on back of Walk Day Pogam THE END OF ALZHEIMER S STARTS WITH YOUR SUPPORT As a company, you have the oppotunity to: the Walk to End Alzheime s - ou signatue event. Oganize a team with colleagues, family, and fiends to paticipate (visit fo moe infomation). Povide a copoate match to multiply employee contibutions. Host an oganization-wide challenge o event to aise funds and awaeness fo the cause. To eceive full sponsoship amenities, completed fom and logos must be eceived by June 1, 2015 s may be sent to nvagas@alz.og

4 2015 PROFESSIONAL EDUCATION CONFERENCES FULL-DAY CONFERENCE SPONSORSHIP LEVELS - TOLEDO Pincipal $3,000 Confeence Undewite $1,500 Benefacto Beakfast Aftenoon Beak $300 Table at Confeence Witten Recognition Signage and Confeence Packet Vebal Recognition Name Name Complimentay Confeence Registations 5 CEUs pe Pofessional Fo 3 Pofessionals Fo 2 Pofessionals Fo 1 Pofessional Pomotional Mateials Recognition on Chapte Website Handout in Confeence Packet Povided by Oppotunity to Addess the Audience HALF-DAY CONFERENCE SPONSORSHIP LEVELS - LIMA OR MANSFIELD Pincipal Confeence Undewite Confeence Benefacto $250 Table at Confeence Vebal Recognition Pomotional Mateials Complimentay Confeence Registations 3 CEUs pe Pofessional Handout in Confeence Packet Povided by Oppotunity to Addess the Audience 2 1 s may be sent to nvagas@alz.og

5 NEWSLETTER ADVERTISEMENTS & CORPORATE MEMBERSHIPS NEWSLETTER SPONSORSHIP OPPORTUNITIES Advetisement Details: B&W 3 x 5 Fou Edition Advetisement Placement ($2,500) o One-Time ($650) Appoximately 20,000 copies of the newslette ae pinted. 18,000 eades eceive the newslette in thei homes acoss 24 Nothwest Ohio counties. Remaining copies ae distibuted in docto offices, nusing facilities, special events, confeence attendees, and to new individuals engaged in a vaiety of Alzheime s Association sevices. ship can include company name, logo, addess, phone numbe, and website addess. Demogaphics: appoximately 72,000 individuals, agencies, and pofessional and family caegives ead the newslette publication. Available on ou Chapte website and ed to ou constituents. ship DOES NOT qualify as endosement of any pogams, sevices, o poducts. Lage sizes ae available. Please contact nvagas@alz.og fo moe infomation. CORPORATE MEMBERSHIP LEVELS Sustaining - Cetificate of membeship fo display at business Invitation to Chapte s annual meeting Recognition in Chapte newslette 20% discount on Pofessional Education Confeence egistation fo 10 employees Link fom Chapte website to the company s website Listing on membeship plaque in Chapte office Active - Cetificate of membeship fo display at business Invitation to Chapte s annual meeting Recognition in Chapte newslette Atwok may be sent to nvagas@alz.og

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