Blue Tie Sponsorship – Health Care Foundation of North Mississippi

MY COMMITMENT - My company will participate by donating the following:

$250

Includes: Your company name on Race T-shirt

$500

Includes: Vendor space at Race, logo on Race T-shirt.

$1,000

Includes: All of the above plus two tickets to the Blue Tie Affair

$1,500

Includes: All of the above plus four tickets to the Blue Tie Affair.

$2,000

Includes: Finish line sponsor! Includes all of the above, plus the opportunity to hang your banner at the finish line on Race day. This is only available to one sponsor, so reserve your space soon!

$2,500

Includes: Presenting Sponsor for Blue Tie Affair. This includes logo on Race T-shirt, four tickets to Blue Tie Affair,vendor space at Race, plus your logo will be displayed prominently on the screens at Blue Tie Affair. This is only available to two sponsors.

If your donation is in-kind, please note the estimated value so you can be properly recognized.

Donation:

Amount:

Company Name

Contact Person *

First

Last

Address *

Address Line 1

City

State

Zip Code

Email *

Phone

Please Select preferred form of payment * *

Check - ***Please refer to mailing address below.***
Credit Card - ***Please be sure to click link on following page after form submission****
Invoice

Total

$ 0.00

Authorize.Net *

Card Number

Expiration

Security Code

Comment

Thank you for your generous contribution!

Make checks payable to the Health Care Foundation of North Mississippi.

Or print the form above

print

and mail to:
Health Care Foundation of North Mississippi
830 S Gloster Street
Tupelo, MS 38801

Please contact the HCF office with questions or further assistance:
foundation@nmhs.net or 662-377-3613