Summer Fundraiser – Sponsor Registration I/My Organization would like to sponsor the 2016 Storytime Safari Fundraiser at this level * ------ Hors D'oeuvres Sponsor - $5000 Guest Reader Sponsor - $2000 Centerpiece Sponsor - $1500 $1000 $500 In addition to the package selected above, I would like to add ____ additional Adult Tickets ($60 Value) ----- One - $50 Two - $100 Three - $150 Four - $200 Five - $350 Six - $300 Seven - $350 Eight - $400 Adult Tickets are for attendees over the age of 9. In addition to the package selected above, I would like to add ____ additional Child Tickets ($30 Value) ----- One - $25 Two - $50 Three - $75 Four - $100 Five - $125 Six - $150 Seven - $175 Eight - $200 Child tickets are for anyone between the ages of 2-9; children under 2 are free. Name (Organization or Family Name) as you wish it to appear on promotional materials * Street Address * Street Address 2 City * State * Ohio Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware 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 Zip Code * Phone * Representative * Designated person to whom all correspondence should be sent. Email * Website: Organization Website URL (If Applicable) Please attach your company/organization's logo. Drop a file here or click to upload Choose File Maximum upload size: 134.22MB Total: If you are human, leave this field blank.