Out of the Darkness Community Walk Sponsorship Form

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* 1. Please Share Your Company's Information:

Name: *

Company: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. I am sponsoring the following Out of the Darkness Community Walk:

Bloomington/Normal Community Walk (Bloomington) - www.BNWalk.org

Champaign/Urbana Community Walk (Champaign) - www.CUWalk.org

Chicagoland Out of the Darkness Walk - www.ChicagoWalk.org

DeKalb County Community Walk (DeKalb) - www.DeKalbCoWalk.org

Effingham Co. Community Walk (Effingham) - www.EffinghamWalk.org

Jefferson Co. Community Walk (Mt.Vernon) - www.JeffersonCoWalk.org

Kankakee Co. Community Walk - www.KankakeeCo.org

LaSalle Co. Community Walk (Ottawa) - www.LaSalleCoWalk.org

Madison Co. Community Walk (Edwardsville) - www.MadisonCoWalk.org

Marion Co. Out of the Darkness Walk (Kinmundy) - www.MarionCoWalk.org

McHenry Community Walk - www.McHenryWalk.org

Northwestern IL Community Walk (Freeport) - www.FreeportWalk.org

Quad Cities Community Walk (Rock Island) - www.QuadCitiesWalk.org

Quincy Community Walk (Quincy) - www.QuincyWalk.org

Rockford Community Walk (Rockford) - www.RockfordWalk.org

Sauk Valley Community Walk (Sterling) - www.SaukValleyWalk.org

Southern Illinois Community Walk (Carbondale) - www.CarbondaleWalk.org

Springfield IL Community Walk - www.SpringfieldWalk.org

St. Clair County Community Walk (W. Belleville) - www.StClairCo.org

Vandalia Community Walk - www.VandaliaWalk.org

West Central IL Community Walk (Galesburg) - www.GalesburgWalk.org

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* 3. Please Select Your Sponsorship Level by Telling Us How Much Your Tax Deductible Donation Will Be:

BENEFACTOR LEVEL | Donation of $10000 or more by Walk Date = We'll Thank You with Your Logo on The Walk Website, Walk T-Shirt, Walk Newsletters, Sign at the Walk, and Opportunity for Table at the Event*! Your Donation is a Tax Deductible Way to Support Suicide Prevention!

PLATINUM LEVEL | Donation of $5000-$9999 by Walk Date = We'll Thank You with Your Logo on The Walk Website, Walk T-Shirt, Walk Newsletters, and Sign at the Walk! Your Donation is a Tax Deductible Way to Support Suicide Prevention!

GOLD LEVEL | Donation of $1000-$4999 by Walk Date = We'll Thank You with Your Logo on The Walk Website, Walk T-Shirt, and in Walk Newsletters! Your Donation is a Tax Deductible Way to Support Suicide Prevention!

SILVER LEVEL | Donation of $500-$999 by Walk Date = We'll Thank You with Your Logo on The Walk Website and Walk T-Shirt! Your Donation is a Tax Deductible Way to Support Suicide Prevention!

BRONZE LEVEL | Donation of $250-$499 by Walk Date = We'll Thank You with Your Logo on The Walk Website! Your Donation is a Tax Deductible Way to Support Suicide Prevention!

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* 4. Donation Submission Method:

Via Credit Card Number I have/will send to Rachelle Jervis, MBA, Illinois Area Director

Via Check I have/will send to AFSP at 1954 1st Street, # 150, Highland Park, IL 60035

Via Online General Walk Donation on the Walk's Website (Look Up Your Walk at www.WalkInIllinois.org)

Please Process The Following Credit or Debit Card (Include Donation Amount):

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* 5. Do you require an invoice (in addition to the donation receipt we provide everyone) to process your donation?

Yes.

No.

At this time I do not. However if I do in the future I will email Rachelle Jervis at rjervis@AFSP.org.

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* 6. Have you submitted your logo for the walk tshirts, website, etc yet?

Yes, I sent it to Rachelle Jervis at rjervis@AFSP.org in png, jpg, or pdf format.

Not yet.

I do not have a logo. Please list my company's name.

Other (please specify)

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* 1. Please Share Your Company's Information:

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* 2. I am sponsoring the following Out of the Darkness Community Walk:

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* 3. Please Select Your Sponsorship Level by Telling Us How Much Your Tax Deductible Donation Will Be:

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* 4. Donation Submission Method:

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* 5. Do you require an invoice (in addition to the donation receipt we provide everyone) to process your donation?

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* 6. Have you submitted your logo for the walk tshirts, website, etc yet?

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* 7. Thank you for your support! Is there anything else you'd like us to know?

* 7. Thank you for your support!
Is there anything else you'd like us to know?