Transform the Night 10.3.14 | Page 13

sponsorship form *Please complete and return to [email protected] or mail to Transforming Hope, PO Box 61564, Durham, NC 27715. Company Name: Contact Name: Mailing Address: E-mail Address: Day Phone No.: I would like to personally be a sponsor -or- I would like to represent my business/corporation as a corporate sponsor for the 2014 “Transform the Night” Masquerade Ball. I/We would like to participate at the following level: Presenting - $10,000 Restore - $5,000 Prevent - $1,000 Educate - $500 *Please email ad information to [email protected] by September 1st or if you would like to use our generic ad, please indicate that below. Method of payment: Check/Cash enclosed (make checks payable to Transforming Hope) Credit Card online payment (www.transforminghopeministries.org, click on “Donate”) Signature of Authorized Person: Date: