Champions Of Prevention 2017 Question Title * 1. Please tell us who you are: Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Question Title * 2. Which Champion's of Prevention Level are you interested in: $10,000 Platinum Champion: *At this level $9,350 is tax deductibleOPERATION A.R.T. PRESENTING SPONSOR: A reserved table for 8-10. A full color ½ page add in the program, on website and on social media. Mention in all event media marketing. Live verbal and print recognition at the event.GOLF TOURNAMENT PAR SPONSOR: One team of 4 in the golf tournament, recognition on website, social media and at the registration table, and inclusion of your marketing item with logo for each golfer. STUDENT OF THE MONTH and YEAR PRESENTING SPONSOR: Student Awards will include your business name in the title (example: QuikTrip Operation Aware Student of the Year). This award will be given to students who exhibit positive choices and leadership.CLASSROOM SPONSOR: Logo and “made possible by” mention on parent guide at 10 schools. $5,000 Gold Champion *At this level $4,475 is tax deductiblePATRON OF THE ARTS: Includes 5 tickets, name on program, social media post, website mention and signage recognition at the event.GOLF TOURNAMENT PAR SPONSOR: One team of 4 in the golf tournament, recognition on website, social media and at the registration table, and inclusion of your marketing item with logo for each golfer.CLASSROOM SPONSOR: Logo and “made possible by” mention on parent guide at 5 schools. $3,000 Silver Champion*At this level $2,525 is tax deductibleOPERATION A.R.T. APPRENTICE: Includes 3 tickets, name on the program, social media post and recognition on event signage.Golf Tournament Team and Cart Sponsor: Includes a team of 4 golfers in the tournament. Company name will be featured on the framed sign of each team’s cart, and the inclusion of one of your marketing items (w/logo) to give to each golfer. Recognition at the registration table. $1,000 Bronze Champion*At this level $950 is tax deductibleOPERATION A.R.T. CONNOISSEUR: Includes 2 event tickets, logo on program, social media post and recognition on event signage.Golf Tournament Spirit Cart Sponsor: Sign with company name and logo, recognition on website, facebook page, and the inclusion of one of your marketing items (w/logo) to give to each golfer. Question Title * 3. Tell us what you need to become a Champion of Prevention 2017 I am ready! Please invoice me for the level selected above! I don’t want any goods or services in return for my donation (Not a problem). Invoice me. Please call me I need more information! I am ready to pay online where do I go to do that? Other (please specify) Done