MUSIC FOR HEART

Download the Event Sponsor Donation Form

Music for Heart Foundation Gala
A Project of the Rotary Club of the Conejo Valley and Rotary District 5240
Sunday, May 3, 2009
At The Canyon Club in Agoura Hills, CA
Event Sponsor Donation Form

Company/Donor Name:___________________________________

Address:_________________________________________________

Phone #_______________________Email:_______________________________

Contact Person:__________________ Deadline for Submissions: Apr. 1, 2009

Level of Sponsorship:

     Title Sponsor $15,000 ____________

     Platinum Sponsor $10,000 _________

     Gold Sponsor $7500 _____________

     Silver Sponsor $5000 ____________

     Bronze Sponsor $2500 ___________

     Participating Sponsor $1000 _______

     Contributing Sponsor $500 _________

Signature____________________________________ Date: _________________

Please make all tax deductible checks payable to: Music for Heart Foundation
Please mail donations to: Music for Heart Foundation, 5737 Kanan Road, #541, Agoura Hills, CA 91301

_____ We do not wish to be an event sponsor, however, we would like to offer support
by donating the following item(s) for your auction.

Item Description:
__________________________________________________________________

__________________________________________________________________

Restrictions, black out periods, and/or limitations: __________________________

Estimated Fair Market Value $______________

The Music for Heart Foundation is a project of the Rotary Club of the Conejo Valley and Conejo Valley Foundation and is a tax exempt organization according to IRS Code 501c3. Contributions are deductible for income tax purposes only to the extent of the law. Tax ID#77-0420110