6th Annual Family Picnic
Sunday, June 14, 2009

Sponsor* Form

See Sponsorship Benefits

*All exhibitors must be sponsors.

Please provide information exactly as it should appear on promotional materials.

Company Contact: Title: Company/Donor Name: Email Address: Street Address: City: State: Zip: Phone Number: Fax Number: SPONSORSHIP COMMITMENT:  Please enter one of the levels listed. Please note – only one organization per sponsorship level, sponsorship benefits may not be split between multiple organizations. Sponsor Levels: Please select a level Presenting $10,000 Angel $5,000 Faith $2,500 Hope $1,000 Love $500 SILENT AUCTION DONATION Please describe auction donation: Auction donation's fair market value of $: DONATION I am unable to attend, but would like to support families with autism by providing a donation of $:

Merchandise can be shipped to:
Talk About Curing Autism
P.O. Box 12409, Newport Beach, CA 92658-2409
Phone (949) 640-4401

Talk About Curing Autism is a 501 c (3) non-profit organization
(Tax ID#: 27-0048002)

DEADLINE: Please return form, mail check, certificate or item to the above address by June 1, 2009.

Questions? Please contact Roxanne Hall.

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