Sponsor

1. SELECT SPONSORSHIP LEVEL*
2. Provide Company Info
3. Additional Services
4. Mail Complete Form

• Provide Company Info
• Additional Services
• Mail Complete Form

1. SELECT SPONSORSHIP LEVEL*
   0% Complete
2. Provide Company Info
   0% Complete
3. Additional Services
   0% Complete
4. Mail Complete Form
   0% Complete
5. 0% Complete
6. 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

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