The Not So Newlywed Game

[Pages:1]The "Not So" Newlywed Game

Company:

Name:

Full Mailing Address:

Phone:

Email:

Event Sponsorships

DIAMOND Sponsor ~ $5000 ~ 2 Tables of 8, Banner at Event PLATINUM Sponsor ~ $2500 ~ 2 Tables of 8, Large Sponsor Ad in program GOLD Sponsor ~ $1000 ~ Table of 8, Small Sponsor Ad in program SWEETHEART Sponsor ~ $600 ~ Table of 8, name listed in program PARTNER ~ Couple $125 GOING SOLO ~ Individual $65 ON MY HONEYMOON AND CAN'T MAKE IT ~ Please accept this donation to

further the work of Samaritan. $_____________

Make Checks Payable to: Samaritan Counseling Center of Southeast Texas 7980 Anchor Drive, Bldg. 500 ~ Port Arthur, TX 77642

(FAX: 409-727-6403)

CREDIT CARD: ____ VISA ____ MasterCard ____ Discover ___ Other Card Number: __________________________________ EXP _______ 3 DIGIT ______ Full Name: _________________________________________ Billing Address ______________________________________________ Signature: _________________________________________________

~ 409-727-6400 ~ Robin McCutcheon ~ robinm@

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