Sponsorship Pledge Form Download pdf version of this form Sponsorship InformationOrganization or Individual Name:(Required)Preferred Name to Display on Promotional Materials:(Required)Primary Contact Person:(Required)Email:(Required)Primary Phone Number(Required)Alternate Phone NumberAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Sponsorship LevelSponsorship Level(Required) Visionary ($20,000+) Diamond ($75,000) Emerald ($70,000) Ruby ($5,000) Amber ($2,500) Amethyst ($7,000) Sapphire ($500) Rose Quartz ($250) Vendor TablesVendor Table(Required) My organization is interested in hosting a Vendor Table on the War Memorial Stadium field during the event. Please send more details and the Vendor Table Registration Form to the information provided above. My organization will forgo the opportunity to host a Vendor Table on the War Memorial Stadium field during the event. Individual or Organization Impact StatementPlease provide a brief statement of what being a part of the cure means to you or your organization. This can be a personal story, an inspirational message, or a quote representing the impact a cure means. Your message may be used for promotional media or event marketing, so dig deep and make it genuine and resonant for others facing struggles or celebrating victories!(Required)Payment InformationPayment(Required) Check Credit Card by Phone Invoice Invoice Please email an invoice to the email address provided Please mail an invoice via USPS to the mailing address provided Check Information UAMS Foundation Fund 4301 W Markham Street Slot# 623-2 Little Rock, AR 72205 In Memo Line of check: BAPOTC Walk Credit Card by Phone Upon receipt of this form, a member of the UAMS Foundation will call the number provided. Sponsor CollateralVisionary, Diamond, Emerald, Ruby, and Amber sponsors should email preferred logos in .eps or .png format to WPRCI-SpecialEvents@uams.edu upon completing and submitting this form. The last days to submit logos are April 3, 2025, for t-shirts and April 17, 2025 for event signage, website, and jumbotron.Donor Options and DisclosuresDisclosures Please consider my gift anonymous I decline the registrations included with my sponsorship Note: A receipt for this sponsorship will be provided, less the amount of the fair market value of the goods and services offered with each sponsorship. If you or your organization wish to decline the included registrations and/or tickets, the receipt will be for the full sponsorship amount. Proceeds benefit the Winthrop P. Rockefeller Cancer Institute at UAMS. The Foundation Fund is a sub-organization of the University of Arkansas Foundation, Inc., a 501(c)(3) nonprofit corporation. Tax ID 71-6056774. For questions about sponsorships and general Be A Part of the Cure Walk inquiries, contact the Winthrop P. Rockefeller Cancer Institute Special Events team WPRCI-SpecialEvents@uams.edu I (501)-686-6773
