4519 Woodruff Rd Unit 4

Columbus GA, 31904

Phone: 706-566-6329
sicklecellcolumbus@gmail.com

Sponsorship/Partnership/Donation:
Tax Deductible Receipt / TAX ID: 62-1589185

Date: _______________________

The Association of Sickle Cell, LCR is a nonprofit community service organization consisting of a Board
of Directors and a Sickle Cell Disease (SCD) Support Group. The association provides education for the
community about this disease and supports sickle cell clients in their quest for a better quality of life.
S

September is National Sickle Cell Disease Awareness Month. The Association will kick off the
Fall Awareness and Fundraising Campaign by hosting the Annual Sickle Cell Walk-A-Thon on
September 20, 2014. Other activities will be held throughout the season:

SCD Workshops
Blood Drive
Youth Retreat
Heritage Breakfast
Sickle Cell Testing

Sponsorship and/Partnership: consists of

(1) Provide your company logo for SCD event advertisement
(2) Promote and implement SCD programs and events within your business with media coverage
(3) A donation of $100.00 to $1,000.00 or more
Acknowledgment based on the level of donation will be in the form of: An Association of Sickle Cell,
LCR T-Shirt with your company name & logo, a certificate/plaque, tickets to the Annual Sickle Cell
Heritage Breakfast, and a broadcast in local media outlets.
Please indicate permission for published / stated recognition of your organization (circle: Y or N)

Name of Company/Contributor_________________________________________________
Contact Person______________________________________________________________
Department: ________________________________________________________________
Company Address: __________________________________________________________
Amount of Contribution: $_____________________________________________________
Items Contributed: (Attach list/invoice with company letterhead if available)

Signature of Company Representative/Title__________________________________________________________

Signature of Association of Sickle Cell, LCR Representative_____________________________________________

4519 Woodruff Rd Unit 4

Columbus GA, 31904
Phone: 706-566-6329
sicklecellcolumbus@gmail.com
Thank You for your Contribution!

Signature of Company Representative/Title__________________________________________________________

Signature of Association of Sickle Cell, LCR Representative_____________________________________________