Sponsor

1. SELECT SPONSORSHIP LEVEL*
2. Provide Company Info
3. Additional Services
4. Mail Complete Form
5. Email High-Res Logo

• Provide Company Info
• Additional Services
• Mail Complete Form
• Email High-Res Logo

1. SELECT SPONSORSHIP LEVEL*
   0% Complete
2. Provide Company Info
   0% Complete
3. Additional Services
   0% Complete
4. Mail Complete Form
   0% Complete
5. Email High-Res Logo
   0% Complete
6. 0% Complete
7. 0% Complete

SELECT SPONSORSHIP LEVEL*

$20,000 PRESENTING Sponsorship

$15,000 TITLE Sponsorship

$10,000 PLATINUM Sponsorship

$5,500 DIAMOND Sponsorship

$2,750 EMERALD Sponsorship

$1,200 SAPPHIRE Sponsorship

$1,000 Bus Sponsor

$600 RUBY Sponsorship

Company Name (as it will appear in all applicable publicity) *

Services Your Company Provides:*

Address *

City:*

State:*

Zip:*

A) Executive/Owner/Manager Contact Name *

Phone *

Email:*

B) Booth Contact Name:

Work Phone:

Cell Phone:

Email:

Booth Contact Mailing Address (if different from above):

ADDITIONAL SERVICES (Not included in Your Sponsorship)

Additional Chairs

WiFi

Electricity

Additional Lunches x $10

Additional Advertising Opportunities Available – email raford2@tarrantcountytx.gov

Please order your electricity here: Online Ordering - Edlen - Log into Online Ordering

How many chairs?

How many WiFi Basic/2 Devices X $25

How many WiFi High Speed/2 Devices X $40

Wifi Amount

How many Box Lunches

Total Lunch Charges

**We will donate a door prize item*

Yes

No

**Door Prizes - Minimum value of $40. Confirm by September 1st for acknowledgement in event program. Items can be dropped off on set-up day September 30th.

Sponsorship Level Amount

Additional Services Subtotal

Grand Total

Once your application has been processed you will receive an invoice within a few days. If you have any questions, please give us a call at 817-248-6295 or email us at empoweringseniors@tarrantcountytx.gov

For printing purposes, logo must be 300 dpi resolution or higher. Email high-res logo to
raford2@tarrantcountytx.gov. To guarantee your sponsorship acknowledgment in advertising and printing, please provide logo by September 1st.

Tarrant County Disclosure Statement

Please be aware that some or all of the information that you submit using this form is subject to public disclosure under the Texas Public Information Act. For an overview of this act, visit the Texas Attorney General's website.

Please note that Tarrant County employees are prohibited by law from providing legal advice. If you need legal assistance, call the Tarrant County Bar Association at 817-336-4101 or visit the Tarrant County Bar Association website.

I have read and understand the information above.

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