Family Resource Guide Sponsor Form Survey

1. Contact Information

Contact Information Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

By providing this information you are committing to become a sponsor for the 2013 Lake County Family Resource Guide.To discuss further sponsor options and for all questions contact rosariodmorris@gmail.com.

2. Please select from the following:

Please select from the following: Column Health and Safety or Education Tip $500

Multiple Column Health and Safety Tips - $500 each (15% discount with 3 or more)

Inside Back Cover - $2000

Outside Back Cover - $2500

Including a logo with my free listing - $50

Other - $_____(please explain below)

3. Tip:

Tip:

Please send all logos, inside or outside cover information and/or tips to rosariodmorris@gmail.com. You can create a new tip or borrow one from the 2008 Family Resource Guide, which you can view at www.lakecountychildcareplanning.com under Reports and Publications. Please send payments and make checks payable to Lake County Child Care Planning Council: 1152 S. Main Street, Lakeport CA 95453.
All payments and information must be submitted by June 30th, 2013. We are happy to produce invoices and receipts for anyone who requests (please include request with your payment or e-mail rosariodmorris@gmail.com if you need an invoice before you can submit payment).
Sponsors will receive free copies of the Resource Guide.
Logo: 25 copies
Column Health and Safety or Education Tip: 300 copies
Cover: 500 copies

If you anticipate the need to purchase additional copies, please estimate the quantity below.

4. Number of anticipated packets at 25 copies each:

Number of anticipated packets at 25 copies each:

5. Please provide any additional information or ideas that would help us in completing this important project:

Please provide any additional information or ideas that would help us in completing this important project: