FOR EVENT ASSISTANCE, CONTACT:

Courtney PalfreemanSpringdale Rotary Exec. Director

479-530-8060 | courtney@springdalerotary.org

Lindsey Schenck479-790-7465 | lbs@multi-craft.net

Luncheon Attire-Business

Please make checks payable to: Springdale Rotary Trust Foundation

The Springdale Rotary Trust Foundation is a 501(c)(3) non-profit corporation. Your gift is tax deductible to the fullest extent of the law.

Rotary Club of SpringdalePO Box 6006 • Springdale, AR 72766

RESERVATION FORMLuncheon, 11:30 a.m. December 8, 2014 Springdale NWA Convention Center

Name of Company, Foundation or Individual

Contact Person

E-mail

Address

City/State/Zip

Phone

Mobile

Fax

SPONSOR LEVELSFIRST TEAM ALL-AMERICAN – $50,000

ALL-AMERICAN – $25,000

FIRST TEAM ALL-CONFERENCE – $15,000

ALL-CONFERENCE – $10,000

COACH’S INNER CIRCLE – $5,000

COACH’S CIRCLE – $1,500

TABLE SPONSOR – $1,000

I have enclosed $

I cannot attend, but I have enclosed $

Please Bill me, Amount $

on date

Pay by Credit Card / Card # Expr. Date

Name of the Company/Individual (please print)

Signature

(Visa, MasterCard, AMEX)

DESIGN PROVIDED BY