Sponsorship Sponsorship Form-alt - GGSC Company Name Contact Name First Contact Name Last Phone Email * Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Sponsorship Opportunities Please select one or more Sponsorships and indicate the number of months or years to sponsor the activity. Birthday Party Birthday Party Sponsor - $1,500.00/Year Monthly entertainment & refreshments for one year. # of years-birthday * # of years Total Birthday Coffee Bar Monthly Coffee Bar Sponsor - $250.00/Month Covers monthly expenses for Coffee Bar for seniors & caregivers. # of months-coffeebar * # of months Total Coffeebar Bingo for Prizes Sponsor Bingo Prizes Sponsor - $200.00/Month Provides fun prizes at our weekly bingo event. # of months-bingo * # of months Total Bingo Arts and Crafts Sponsor Arts and Crafts Sponsor - $1,200.00/Year Helps with costs of needed supplies for arts and crafts activities. # of years-Artscrafts * # of years Total Artscrafts Christmas Party Sponsor Christmas Party Sponsor - $500.00/Year Provides refreshments, prizes and entertainment for our seniors Christmas party. # of years-Christmas * # of years Total Christmas Volunteer Appreciation Sponsor Volunteer Appreciation Event Sponsor - $600.00/Event Provides entertainment, prizes & certificates funding for volunteer appreciation events. # of events-Volunteer * # of Events Total Volunteer Trip Sponsor Trip Sponsor - $800.00/Event Helps cover costs of day trips for our seniors. # of events-Trips * # of Events Total Trip Total Sponsorship $ I Will Pay By: * Credit Card Check Thank you for supporting the Golden Gate Senior Center. Gifts are deductible for income tax purposes to the extent allowed by IRS rules. Please make your check payable to Collier Senior Resources and return by mail to: Collier Senior Resources 4898 Coronado PkwyNaples, FL 34116 We understand the importance of protecting the privacy and confidentiality of the seniors and caregivers who visit the Golden Gate Senior Center. With this in mind, we and our employees will respect and abide by Collier Senior Resources’ guidelines of non-solicitation, HIPAA privacy, and client confidentiality. We understand that we may display brochures at the Center and depending on the level of sponsorship, be invited to provide one 30-minute educational session during the month of sponsorship. Signature Clear Date Printed Name Submit Your Sponsorship If you are human, leave this field blank.