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Contribution
Form Community Outreach Expo 2009 Benefiting
Local Non-profits In
the Southern Utah Area |
About Us| What can You Do? | Sponsors | Benefiting Non-Profits | Home Page | FAQ | Contact Us
Send completed form with check to: Community Expo C/O Leon Sanders- 1720 Spirit Walker Dr. St. George Utah, 84790
Special Need- We are in need of a generous donor to help us defray the cost of advertising and publicity for the 2009 Community Services Expo. If you want to help us in this way, please let Sandie know at sdivan@comunityexposgu.com
______ Title
(Over $1000.00)
______ Co-Sponsor
($500.00 -$999.00)
______ Supporter
($250.00 -
$499.00)
______ General
Supporter ($100.00-
$249.00)
______
In-Kind
Donations
(Please specify by checking contributions below)
_______ Advertising
*
Contact sdivan@communityexposgu for
instructions on where to mail or fax form to
Business/Person
Contributing
_____________________________________
Street
Address
_________________________________________________
(City)
(State)
(Zip
code)
Phone Number/Contact Information
______________________|_________________________
(Hm)
(Cell)
E-mail Address _____________________________________________________________
Signatures by both parties indicate and agreement to perform on all the above stated conditions and stipulations. Community Services Expo 2009 is held harmless in any litigation situations arriving from fulfillment of this contractual agreement.
____________________________ _________ __________________________ __________
Sponsor-Authorized Signature Date Community Expo 2009 Representative Date