Sponsorship Pledge Form | UAMS Be a Part of the Cure Walk

Sponsorship Information

Organization or Individual Name:(Required)

Preferred Name to Display on Promotional Materials:(Required)

Primary Contact Person:(Required)

Email:(Required)

Primary Phone Number(Required)

Alternate Phone Number

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Sponsorship Level

Sponsorship Level(Required)

Visionary ($20,000+)

Diamond ($15,000)

Emerald ($10,000)

Ruby ($5,000)

Amber ($2,500)

Amethyst ($1000)

Sapphire ($500)

Rose Quartz ($250)

Vendor Tables

Vendor 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 Statement

Please provide a brief statement of what “Be A Part of the Cure Walk” 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 will be shared at the event on the Jumbotron and may be used for promotional marketing.(Required)

Payment Information

Payment(Required)

Check

Credit Card by Phone

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 Collateral

Visionary, 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 2, 2026, for t-shirts and April 16, 2026 for event signage, website, and jumbotron.

Donor Options and Disclosures

Disclosures

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 501-686-6113